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美国多种族年轻成年人在医疗服务使用方面的差异。

Disparities in Health Services Use Among Multiracial American Young Adults.

作者信息

Tabb Karen M, Larrison Christopher R, Choi Shinwoo, Huang Hsiang

机构信息

School of Social Work, University of Illinois at Urbana-Champaign, 1010 W. Nevada, MC-082, Urbana, IL, 61801, USA.

Cambridge Health Alliance, Harvard Medical School, Cambridge, MA, USA.

出版信息

J Immigr Minor Health. 2016 Dec;18(6):1462-1469. doi: 10.1007/s10903-015-0289-7.

Abstract

Addressing disparities in health services utilization remains critical for improving minority health; however, most studies do not report on the health service use of multiracial young adults (age 22-34). This study compares past year health service use of self-identified multiracial (two or more races) young adults with monoracial White young adults. Weighted survey data from Add Health (N = 7296) and multivariate logistic regression analyses were used. Compared to monoracial White young adults, Black-White multiracial [OR 0.40, 95 % CI (0.17-0.90)] and Black-Native American multiracial [OR 0.23, 95 % CI (0.09-0.63)] young adults are less likely to report primary care service use in the past year. Multiracial young adults have different health care service utilization than their White monoracial peers with Black-Native American young adults appearing to be particularly vulnerable to under-utilization of primary care services. It is important to examine multiracial subgroups when studying patterns of health services utilization.

摘要

解决医疗服务利用方面的差异对于改善少数族裔健康状况仍然至关重要;然而,大多数研究并未报告多种族年轻人(22 - 34岁)的医疗服务使用情况。本研究比较了自我认定为多种族(两个或更多种族)的年轻人与单一种族白人年轻人过去一年的医疗服务使用情况。使用了来自“青少年健康纵向研究”(Add Health)的加权调查数据(N = 7296)以及多变量逻辑回归分析。与单一种族白人年轻人相比,黑白混血[比值比(OR)0.40,95%置信区间(CI)(0.17 - 0.90)]和黑印第安混血[OR 0.23,95% CI(0.09 - 0.63)]的年轻人在过去一年中报告使用初级保健服务的可能性较小。多种族年轻人的医疗服务利用情况与其单一种族白人同龄人不同,黑印第安混血年轻人似乎尤其容易出现初级保健服务利用不足的情况。在研究医疗服务利用模式时,对多种族亚群体进行研究很重要。

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