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阿巴拉契亚农村地区两个社区的健康社会决定因素及其对生活质量和幸福感的影响:社区成员的观点及对健康差距的启示

Social Determinants of Health and the Effects on Quality of Life and Well-being in 2 Rural Appalachia Communities: The Community Members' Perspective and Implications for Health Disparities.

作者信息

Hege Adam, Ball Lanae, Christiana Richard W, Wallace Conner, Hubbard Cami, Truesdale Danielle, Hege Jennifer, Fleming Howard

机构信息

Departments of Health and Exercise Science (Drs A. Hege and Christiana and Ms Truesdale) and Nutrition and Healthcare Management (Ms Hubbard), Appalachian State University, Boone, North Carolina; Department of Nutrition, University of North Carolina at Greensboro, Greensboro, North Carolina (Mr Wallace); Department of Nutrition, Health and Human Performance, Meredith College, Raleigh, North Carolina (Dr Ball); and Western North Carolina Conference of the United Methodist Church, Charlotte, North Carolina (Ms J. Hege and Mr Fleming).

出版信息

Fam Community Health. 2018 Oct/Dec;41(4):244-254. doi: 10.1097/FCH.0000000000000201.

DOI:10.1097/FCH.0000000000000201
PMID:30134339
Abstract

Recent evidence highlights health disparities among rural communities. The purpose of this study was to learn from members of 2 Appalachia communities in North Carolina about barriers to health and well-being. Researchers conducted 3 focus groups (n = 24), which were coded and analyzed by a team of researchers to identify themes. Researchers identified 5 themes: (1) poverty/lack of economic opportunity; (2) access to health care and health resources; (3) social/mental health challenges; (4) food insecurity/hunger; and (5) youth/older adults being most vulnerable to health disparities. Ample evidence suggests that rural Appalachia is in dire need of public health attention.

摘要

近期证据凸显了农村社区之间的健康差异。本研究的目的是了解北卡罗来纳州两个阿巴拉契亚社区的成员在健康和福祉方面面临的障碍。研究人员开展了3个焦点小组(n = 24),由一组研究人员进行编码和分析以确定主题。研究人员确定了5个主题:(1)贫困/缺乏经济机会;(2)获得医疗保健和健康资源;(3)社会/心理健康挑战;(4)粮食不安全/饥饿;以及(5)青年/老年人最易受到健康差异的影响。大量证据表明,阿巴拉契亚农村地区急需公共卫生关注。

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