Perceived Neighborhood Social Cohesion and Preventive Healthcare Use
Perceived Neighborhood Social Cohesion and Preventive Healthcare Use
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DOI：
10.1016/j.amepre.2017.01.007
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发表时间：
2017-08-01
影响因子：
5.5
通讯作者：
Kawachi, Ichiro
中科院分区：
文献类型：
--
作者：
Kim, Eric S.;Kawachi, Ichiro
简介：邻里社会凝聚力与更好的健康和健康行为有关，但其与预防性医疗保健使用模式的关系仍未得到充分研究。假设是，人们更高的感知邻里社会凝聚力将显示增加使用预防性healthcare services.Methods：参与者（N = 7,168）从2006年波的健康和退休研究的前瞻性和全国代表性的小组研究，美国成年人年龄450岁-和跟踪一波（2年）。结果：在调整社会人口学因素和基线健康后，社区社会凝聚力的每一个SD增加与人们获得流感疫苗（OR = 1.09，95%CI = 1.04，1.15）或胆固醇测试（OR = 1.10，95%CI = 1.02，1.19）的可能性增加相关。此外，女性更有可能接受乳房X光检查（OR=1.10，95% CI=1.01，1.19）或巴氏试验（OR=1.08，95% CI=1.00，1.17）。然而，男性不太可能接受前列腺检查（OR=1.06，95%CI =0.96，1.17）。结论：通过额外的研究，这项研究的结果可能会告知新的战略，增加使用预防性医疗服务，提高人们的生活质量，通过这个老龄化社会的行列。(C)2017年美国预防医学杂志。爱思唯尔公司出版All rights reserved.
Introduction: Neighborhood social cohesion has been linked with better health and health behaviors, but its association with patterns of preventive healthcare use remains understudied. The hypothesis was that people with higher perceived neighborhood social cohesion would display increased use of preventive healthcare services.Methods: Participants (N = 7,168) were drawn from the 2006 wave of the Health and Retirement Study-a prospective and nationally representative panel study of American adults aged 450 years -and tracked for one wave (2 years). Analyses were conducted in 2016.Results: After adjusting for sociodemographic factors and baseline health, each SD increase in neighborhood social cohesion was associated with a higher likelihood that people would obtain influenza vaccinations (OR = 1.09, 95% CI = 1.04, 1.15) or cholesterol tests (OR = 1.10, 95% CI = 1.02, 1.19). Further, women were more likely to receive mammograms/x-rays (OR=1.10, 95% CI=1.01, 1.19) or Pap tests (OR=1.08, 95% CI=1.00, 1.17). However, men were not more likely to receive prostate exams (OR=1.06, 95% CI=0.96, 1.17).Conclusions: With additional research, findings from this study may inform the development of new strategies that increase the use of preventive healthcare services and enhance the quality of life among people moving through the ranks of this aging society. (C) 2017 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.