College of Nursing, Auburn University, Auburn, AL 36849, USA.
College of Nursing, Auburn University, Auburn, AL 36849, USA; Department of Nutritional Sciences, Auburn University, Auburn, AL 36849, USA.
Geriatr Nurs. 2024 Mar-Apr;56:184-190. doi: 10.1016/j.gerinurse.2024.02.014. Epub 2024 Feb 14.
A cross-sectional study was conducted to determine preventive-health-activity engagement in community-dwelling older adults participating in student-led health screenings in east Alabama. From 2017-2019, health professions students conducted health screenings at 23 community and independent living sites to assess medical and social needs of adults. Clients' responses to questions regarding vaccinations (flu/pneumonia/shingles), cancer screenings (colon/sex-specific), and other (dental/vision) screenings were aggregated to create a preventive health behavior (prevmed) score. Chi-square, t-tests, and regression analyses were conducted. Data from 464 adults ages 50-99 (72.9±10.1) years old were analyzed. The sample was 71.3% female, 63.1% Black/African American (BA), and 33.4% rural. Linear regression indicated BA race (p=0.001), currently unmarried (p=0.030), no primary care provider (p<0.001) or insurance (p=0.010), age <65 years (p=0.042) and assessment at a residential site (p=0.037) predicted lower prevmed scores. Social factors predict preventive health activity engagement in community-dwelling adults in east Alabama, indicating several opportunities to improve health outcomes.
一项横断面研究旨在确定参与阿拉巴马州东部学生主导的健康筛查的社区居住老年人的预防保健活动参与情况。在 2017 年至 2019 年期间，健康专业学生在 23 个社区和独立生活场所进行健康筛查，以评估成年人的医疗和社会需求。将客户对疫苗接种（流感/肺炎/带状疱疹）、癌症筛查（结肠癌/性别特异性）和其他（牙科/视力）筛查问题的回答进行汇总，以创建预防保健行为（prevmed）评分。进行了卡方检验、t 检验和回归分析。对年龄在 50-99 岁（72.9±10.1）岁的 464 名成年人的数据进行了分析。该样本中 71.3%为女性，63.1%为黑人和非裔美国人（BA），33.4%为农村居民。线性回归表明 BA 种族（p=0.001）、目前未婚（p=0.030）、没有初级保健提供者（p<0.001）或保险（p=0.010）、年龄<65 岁（p=0.042）和在住宅地点接受评估（p=0.037）预测 prevmed 评分较低。社会因素预测了阿拉巴马州东部社区居住成年人的预防保健活动参与情况，这表明有几个机会可以改善健康结果。
