澳大利亚青年在新冠疫情之前及期间的医疗保健回避行为：一项纵向研究
Healthcare Avoidance before and during the COVID-19 Pandemic among Australian Youth: A Longitudinal Study.
作者信息
Islam Md Irteja, Freeman Joseph, Chadwick Verity, Martiniuk Alexandra
机构信息
Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Edward Ford Building, A27 Fisher Road, Sydney, NSW 2006, Australia.
Centre for Health Research and School of Sciences, The University of Southern Queensland, West Street, Toowoomba, QLD 4350, Australia.
出版信息
Healthcare (Basel). 2022 Jul 6;10(7):1261. doi: 10.3390/healthcare10071261.
BACKGROUND
Access to healthcare for young people is essential to ensure they can build a foundation for a healthy life. However, during the COVID-19 pandemic, many people avoided seeking healthcare, adversely affecting population health. We investigated the factors associated with the avoidance of healthcare for Australian young people when they reported that they needed healthcare. We were able to compare healthcare avoidance during the COVID-19 pandemic with healthcare avoidance prior to COVID-19.
METHODS
We used two recent data collection waves from the Longitudinal Study of Australian Children (LSAC)-Wave 9C1 during the COVID-19 pandemic in 2020, and Wave 8 data which were collected in 2018. The primary outcome of this study revealed the avoidance of healthcare among those who perceived the need for care. Bivariate analyses and multiple logistic regression models were employed to identify the factors associated with the avoidance of healthcare during the COVID-19 and pre-COVID-19 periods.
RESULTS
In the sample of 1110 young people, 39.6% avoided healthcare during the first year of the COVID-19 pandemic even though they perceived that they had a health problem that required healthcare. This healthcare avoidance was similar to the healthcare avoidance in the pre-COVID-19 pandemic period (41.4%). The factors most strongly associated with healthcare avoidance during the COVID-19 pandemic were female gender, an ongoing medical condition, and moderately high psychological distress. In comparison, prior to the pandemic, the factor associated with healthcare avoidance was only psychological distress. The most common reason for not seeking healthcare was thinking that the problem would spontaneously resolve itself (55.9% during COVID-19 vs. 35.7% pre-COVID-19 pandemic).
CONCLUSIONS
A large proportion of youths avoided healthcare when they felt they needed to seek care, both during and before the COVID-19 pandemic.
背景
年轻人获得医疗保健对于确保他们能够建立健康生活的基础至关重要。然而，在新冠疫情期间，许多人避免寻求医疗保健，对人群健康产生了不利影响。我们调查了澳大利亚年轻人在表示需要医疗保健时避免寻求医疗保健的相关因素。我们能够将新冠疫情期间的医疗保健回避情况与新冠疫情之前的医疗保健回避情况进行比较。
方法
我们使用了澳大利亚儿童纵向研究（LSAC）最近的两轮数据收集——2020年新冠疫情期间的第9C1波，以及2018年收集的第8波数据。本研究的主要结果揭示了那些认为需要护理的人群中对医疗保健的回避情况。采用双变量分析和多元逻辑回归模型来确定新冠疫情期间和新冠疫情之前与医疗保健回避相关的因素。
结果
在1110名年轻人的样本中，39.6%的人在新冠疫情的第一年尽管认为自己有需要医疗保健的健康问题，但仍避免寻求医疗保健。这种医疗保健回避情况与新冠疫情之前的医疗保健回避情况（41.4%）相似。与新冠疫情期间医疗保健回避最密切相关的因素是女性性别、持续的健康状况以及中度较高的心理困扰。相比之下，在疫情之前，与医疗保健回避相关的因素只有心理困扰。不寻求医疗保健的最常见原因是认为问题会自行解决（新冠疫情期间为55.9%，新冠疫情之前为35.7%）。
结论
在新冠疫情期间和之前，很大一部分年轻人在觉得需要寻求医疗护理时都避免了就医。
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