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美国叙利亚裔美国人获得医疗保健服务和利用情况的预测因素。

Predictors of Healthcare Access and Utilization by Syrian Americans in the United States.

机构信息

Department of Medicine, Cedars Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, CA, 90048, USA.

Department of Preventive Medicine, Keck School of Medicine of the University of Southern California, 1975 Zonal Ave, Los Angeles, CA, 90033, USA.

出版信息

J Immigr Minor Health. 2022 Feb;24(1):136-144. doi: 10.1007/s10903-020-01133-z. Epub 2021 Jan 2.

DOI:10.1007/s10903-020-01133-z
PMID:33389394
Abstract

There are currently no studies examining healthcare access and utilization by Syrian Americans. A better understanding of the determinants of healthcare utilization among this group could help aid in the design of culturally competent programs. A self-administered survey was distributed at events across Southern California and Jacksonville, Florida from January 2018 to May 2019. Statistical analysis utilized multivariate regressions. Insurance coverage was associated with a preference for speaking Arabic (OR 0.433, p = 0.02) and increased length of residency (OR 1.04, p = 0.02). Routine checkup was associated with female sex (OR 1.97, p = 0.001), age (OR 1.05, p < 0.001), and insurance coverage (OR 6.96, p < 0.001). Colonoscopy compliance rate was 43.3% and positively associated with higher education (OR 2.70, p = 0.002), routine checkup (OR 7.61, p = 0.009) and increased length of residency (OR 1.06, p < 0.001). Syrian Americans may benefit from further health promotion campaigns with regard to insurance coverage, preventative care and cancer screenings.

摘要

目前尚无研究考察叙利亚裔美国人的医疗保健获取和利用情况。更好地了解这一群体医疗保健利用的决定因素有助于帮助制定文化上适宜的计划。2018 年 1 月至 2019 年 5 月,在南加州和佛罗里达州杰克逊维尔的各种活动中分发了一份自我管理的调查。统计分析采用多元回归。保险覆盖与更愿意说阿拉伯语(OR0.433,p=0.02)和居住时间延长(OR1.04,p=0.02)有关。常规体检与女性(OR1.97,p=0.001)、年龄(OR1.05,p<0.001)和保险覆盖(OR6.96,p<0.001)有关。结肠镜检查依从率为 43.3%,与较高的教育程度(OR2.70,p=0.002)、常规体检(OR7.61,p=0.009)和居住时间延长(OR1.06,p<0.001)呈正相关。叙利亚裔美国人可能受益于进一步的健康促进活动,包括保险覆盖、预防保健和癌症筛查。

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Prevalence, Perceived Benefits, and Perceived Barriers Regarding Breast Cancer Screening Among Three Arab American Women Subgroups.三种阿拉伯裔美国妇女亚群中乳腺癌筛查的流行率、感知益处和感知障碍。
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