Health Professional Shortage Areas, insurance status, and cardiovascular disease prevention in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study.
Health Professional Shortage Areas, insurance status, and cardiovascular disease prevention in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study.
复制标题
DOI：
10.1353/hpu.2011.0127
复制
发表时间：
2011-11
影响因子：
1.4
通讯作者：
Safford MM
中科院分区：
文献类型：
--
作者：
Brown TM;Parmar G;Durant RW;Halanych JH;Hovater M;Muntner P;Prineas RJ;Roth DL;Samdarshi TE;Safford MM
生活在卫生专业人员短缺地区（HPSA）的心血管疾病（CVD）患者可能比其他人接受更少的预防性护理。卒中地理和种族差异的原因研究（REGARDS）在2003-2007年间调查了30,221名45岁以上的非洲裔美国人（AA）和白色人。我们通过HPSA和保险状况比较了用于预防CVD的药物使用，并调整了社会人口因素，健康行为和健康状况。居住在部分HPSA县的个人被排除在外。平均年龄为64±9岁，42%为AA，55%为女性，93%有健康保险; 2，545人居住在340个完整的HPSA县，17，427人居住在1，145个非HPSA县。阿司匹林、β受体阻滞剂和ACE抑制剂的使用与HPSA和保险状况相似。与居住在非HPSA县的有保险的个人相比，居住在非HPSA和HPSA县的无保险参与者中他汀类药物的使用率较低。用于预防心血管疾病的药物使用较少与HPSA状态无关，但他汀类药物使用较少与缺乏保险相关。
Individuals with cardiovascular disease (CVD) living in Health Professional Shortage Areas (HPSA) may receive less preventive care than others. The Reasons for Geographic And Racial Differences in Stroke Study (REGARDS) surveyed 30,221 African American (AA) and White individuals older than 45 years of age between 2003–2007. We compared medication use for CVD prevention by HPSA and insurance status, adjusting for sociodemographic factors, health behaviors, and health status. Individuals residing in partial HPSA counties were excluded. Mean age was 64±9 years, 42% were AA, 55% were women, and 93% had health insurance; 2,545 resided in 340 complete HPSA counties and 17,427 in 1,145 non-HPSA counties. Aspirin, beta-blocker, and ACE-inhibitor use were similar by HPSA and insurance status. Compared with insured individuals living in non-HPSA counties, statin use was lower among uninsured participants living in non-HPSA and HPSA counties. Less medication use for CVD prevention was not associated with HPSA status, but less statin use was associated with lack of insurance.
登录
查看更多内容
影响因子：
1.9
作者：
Mukherjee, D;Wainess, RM;Upchurch, GR
通讯作者：
Upchurch, GR
影响因子：
1.2
作者：
RADLOFF L S
通讯作者：
RADLOFF L S
DOI：
10.1001/archfami.4.8.681
发表时间：
1995-08-01
期刊：
Archives of family medicine
影响因子：
--
作者：
Kohrs, F P;Mainous, A G 3rd
通讯作者：
Mainous, A G 3rd
影响因子：
--
作者：
Wilt, TJ;Bloomfield, HE;Sales, A
通讯作者：
Sales, A
影响因子：
4.8
作者：
Krumholz, HM;Chen, J;Radford, MJ
通讯作者：
Radford, MJ