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农村地区青少年未满足的健康需求及医疗保健的感知障碍。

Unmet health need and perceived barriers to health care among adolescents living in a rural area.

作者信息

Hardin Heather K, Alchami Hana, Lee David, Jones M Susan

机构信息

Case Western Reserve University, Frances Payne Bolton School of Nursing.

Western Kentucky University, School of Nursing.

出版信息

Child Health Care. 2021;50(1):108-123. doi: 10.1080/02739615.2020.1833333. Epub 2020 Nov 8.

Abstract

This study investigated the perceived health care needs, unmet health need, and barriers to health care in 224 rural-dwelling adolescents. A cross-sectional, descriptive design was used to survey adolescents attending a public high school in a low-resource, rural Indiana community. One in five adolescents reported an unmet health need. The most common barriers to health care were related to access, apathy, anxiety, and parenting issues. Implications include confidentiality protocols in family healthcare practices, school-based health centers, and intervention research targeting adolescents' communication skills and healthcare consumer skills.

摘要

本研究调查了224名农村青少年所感知到的医疗保健需求、未满足的健康需求以及医疗保健障碍。采用横断面描述性设计,对印第安纳州农村低资源社区一所公立高中的青少年进行了调查。五分之一的青少年报告有未满足的健康需求。医疗保健最常见的障碍与就医机会、冷漠、焦虑和育儿问题有关。其影响包括家庭医疗实践中的保密协议、校内健康中心,以及针对青少年沟通技巧和医疗保健消费者技能的干预研究。

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