Center for Population Health and Aging, Texas A&M University, College Station, TX 77843, USA.
Department of Environmental and Occupational Health, School of Public Health, Texas A&M University, College Station, TX 77843, USA.
Int J Environ Res Public Health. 2022 Mar 19;19(6):3655. doi: 10.3390/ijerph19063655.
Middle-aged and older men of color with chronic conditions have low utilization of preventive health services. In the context of the Chronic Care Model (CCM), the objective of this study was to identify perceptions about being informed, activated patients and having productive interactions in healthcare settings among non-Hispanic Black and Hispanic middle-aged and older men with chronic health conditions in the United States. Using an internet-based survey deployed nationally using a Qualtrics panel, data were collected from a sample of non-Hispanic Black and Hispanic men aged 40 years and older with one or more self-reported chronic conditions ( = 2028). Chi-square tests and one-way ANOVAs were used to describe this national sample by race/ethnicity and age group (40-64 years and ≥65 years). Results suggest that most health-related factors differed more on age than by race/ethnicity. Younger age groups reported less preventive care, greater barriers to self-care, mental health issues, and risky behavior. Findings from this study provide insight into the health status and healthcare utilization of racial/ethnic men with one or more chronic conditions. Results may help inform prevention and treatment interventions for middle-aged and older men of color.
患有慢性病的中老年有色人种男性对预防保健服务的利用率较低。在慢性病照护模式（Chronic Care Model，简称 CCM）的背景下，本研究的目的是在美国患有慢性健康问题的非西班牙裔黑人和西班牙裔中老年男性中，确定他们对知情、积极参与患者和在医疗保健环境中进行富有成效的互动的看法。本研究采用基于互联网的全国性调查，利用 Qualtrics 小组收集了来自年龄在 40 岁及以上、自我报告患有一种或多种慢性疾病的非西班牙裔黑人和西班牙裔男性的数据（n = 2028）。卡方检验和单因素方差分析用于按种族/民族和年龄组（40-64 岁和≥65 岁）描述这个全国性样本。结果表明，大多数与健康相关的因素更多地取决于年龄，而不是种族/民族。年轻的年龄组报告的预防性护理较少，自我护理的障碍更大，心理健康问题和危险行为更多。本研究的结果深入了解了患有一种或多种慢性疾病的种族/民族男性的健康状况和医疗保健利用情况。研究结果可能有助于为中年和老年有色人种男性提供预防和治疗干预措施。
