Health and Health Service Needs: Comparison of Older and Younger Women with Criminal-Legal Involvement in Three Cities.

Health and Health Service Needs: Comparison of Older and Younger Women with Criminal-Legal Involvement in Three Cities.
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卫生和卫生服务需求:比较三个城市的年龄较大和年轻妇女与法律犯罪的参与。

DOI:
10.1177/08982643211025443
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发表时间:
2022-01
影响因子:
2.8
通讯作者:
Ramaswamy, Megha
Ramaswamy, Megha
中科院分区:
医学3区
文献类型:
--
作者:
Emerson, Amanda;Lipnicky, Ashlyn;Comfort, Megan;Lorvick, Jennifer;Cropsey, Karen;Smith, Sharla;Ramaswamy, Megha

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我们分析了涉及刑事法律系统(CLS)的老年成年妇女(50岁以上)的健康和卫生服务需求,并将其与同样涉及CLS的年轻妇女(18-49岁)进行了比较。利用2020年1月至6月从美国三个城市参与CLS的成年女性中收集的调查数据,我们对老年成年女性和年轻女性的行为和结构风险因素、健康状况以及卫生服务的获取和使用进行了分析和比较。三分之一(157/510)的患者年龄在50岁以上。我们发现在健康状况和健康服务使用方面存在显著差异(p < 0.05):老年妇女有更多的慢性疾病(如高血压、中风)和更多的多重疾病,并报告更多地使用个性化护理(如私人医生、医疗之家、健康保险)。尽管与年轻女性相比,与CLS相关的老年女性报告了良好的卫生服务,但她们的慢性健康状况、多病和功能下降值得关注。
We profiled the health and health services needs of a sample of older adult women (age 50+) with criminal-legal system (CLS) involvement and compared them with younger women (age 18–49), also CLS-involved. Using survey data collected January-June 2020 from adult women with CLS involvement in three U.S. cities, we profiled and compared the older adult women with younger women on behavioral and structural risk factors, health conditions, and health services access and use. One-third (157/510) were age 50+. We found significant differences (p < .05) in health conditions and health services use: older women had more chronic conditions (e.g., hypertension, stroke) and more multimorbidity and reported more use of personalized care (e.g., private doctor, medical home, health insurance). Although older women with CLS involvement reported good access to health services compared with younger women, their chronic health conditions, multimorbidity, and functional declines merit attention.
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