Correlates of health care use among White and minority men and women with diabetes: An NHANES study.
Correlates of health care use among White and minority men and women with diabetes: An NHANES study.
复制标题
患有糖尿病的白人和少数族裔男性和女性医疗保健使用的相关性：一项 NHANES 研究。
DOI：
10.1016/j.diabres.2019.03.001
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发表时间：
2019
影响因子：
5.1
通讯作者：
Breland,JessicaY
中科院分区：
文献类型：
--
作者：
Wong,JessieJ;Hood,KoreyK;Breland,JessicaY
AimsThe目前的研究旨在确定患者层面的因素与医疗保健使用之间的白色和少数民族男性和女性diabetes.MethodsA样本的447个非妊娠糖尿病患者，年龄18-64，从2015-2016年国家健康和营养检查调查数据集。泊松回归模型测试了医疗保健使用与自测健康、抑郁、医疗合并症、体重指数、婚姻状况、子女数量、收入、保险范围和年龄之间的关联，按性别和种族/少数民族地位分层。在患有糖尿病的白色男性中，健康等级是增加医疗保健使用的唯一显著相关因素，而收入和保险是增加医疗保健使用的显著相关因素。少数民族男性使用率增加。在白色和少数民族女性中，抑郁程度较高和单身与更多的医疗保健使用相关。共病的医疗条件和保险范围也与使用少数民族women.ConclusionsAmong个人糖尿病，医疗保健使用之间的白色男性似乎是由主观健康，而经济因素是关键的少数民族男性。家庭结构和心理健康与所有妇女的医疗保健使用有关。可以针对这些因素促进公平获得保健。
AimsThe current study sought to identify patient-level factors related to health care use among White and minority men and women with diabetes.MethodsA sample of 447 of non-pregnant individuals with diabetes, ages 18–64, was drawn from the 2015–2016 National Health and Nutrition Examination Surveys dataset. Poisson regression models tested associations between health care use and self-rated health, depression, medical comorbidities, body mass index, marital status, number of children, income, insurance coverage, and age, stratified by gender and racial/ethnic minority status.ResultsPoorer self-rated health was the only significant correlate of increased health care use among White men with diabetes whereas income and insurance were significant correlates of increased use among minority men. Among White and minority women, higher levels of depression and being single were correlated with greater health care use. Comorbid medical conditions and insurance coverage were also related to use among minority women.ConclusionsAmong individuals with diabetes, health care use among White men appeared to be driven by subjective health whereas financial factors were critical among minority men. Family structure and mental health were instrumentally associated with health care use among all women. These factors can be targeted to promote equitable access to care.
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DOI：
10.1186/1478-7547-5-4
发表时间：
2007-04-18
期刊：
Cost effectiveness and resource allocation : C/E
影响因子：
--
作者：
Nichols L;Barton PL;Glazner J;McCollum M
通讯作者：
McCollum M
DOI：
--
发表时间：
2004-09
期刊：
The journal of mental health policy and economics
影响因子：
--
作者：
Carla A Green;M. Polen;N. Perrin;M. Leo;F. Lynch;D. Rush
通讯作者：
Carla A Green;M. Polen;N. Perrin;M. Leo;F. Lynch;D. Rush
影响因子：
1.6
作者：
Al OM
通讯作者：
Al OM
三类族裔老年人的医生使用情况
影响因子：
3
作者：
C. Cox
通讯作者：
C. Cox
影响因子：
7.2
作者：
Ritter, PL;Stewart, AL;Lorig, KR
通讯作者：
Lorig, KR