Age Group Differences in Healthcare Access for People With Disabilities: Are Young Adults at Increased Risk?
Age Group Differences in Healthcare Access for People With Disabilities: Are Young Adults at Increased Risk?
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DOI：
10.1016/j.jadohealth.2010.11.251
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发表时间：
2011-08-01
影响因子：
7.6
通讯作者：
Andresen, Elena M.
中科院分区：
文献类型：
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作者：
Cannell, Michael B.;Brumback, Babette A.;Andresen, Elena M.
目的：本研究的目的是量化和描述人口的年轻成年人残疾在佛罗里达和评估相关的医疗保健访问在这一人群中的成年人属于中年和老年groups.Methods：本研究分析了数据的36,704受访者从2007年佛罗里达行为风险因素监测系统。三个年龄组的风险差异的同质性进行测试，使用反加权调整混杂和选择bias.Results：调整后的模型，在过去的12个月内，因为成本不能去看医生的风险差异是显着异质性的年龄组（卡方F-2（2df）值= 12.40，p <0.01）。残疾青年与同龄人之间的风险差异在各组中显着下降。年龄在18-29岁之间的风险差异为15.5%，年龄在30-64岁之间的风险差异为11.9%，年龄≥ 65岁的风险差异为2.1%。结论：本文使用基于人群的数据，量化了有残疾和没有残疾的年轻人之间在风险和获得医疗保健方面的差异。它提供了间接证据，证明人们普遍认为美国的医疗保健转型存在问题，需要继续调查和干预。(C)2011年青少年健康和医学协会。All rights reserved.
Purpose: The purpose of this study was to quantify and describe the population of young adults with disability in Florida and to assess correlates of healthcare access in this population in contrast with adults belonging to middle and older age groups.Methods: This study analyzed data of 36,704 respondents obtained from the 2007 Florida Behavioral Risk Factor Surveillance System. A test for homogeneity of the risk difference across the three age groups was conducted using inverse weighting to adjust for confounding and selection bias.Results: The adjusted model for risk difference of not being able to see a doctor in the past 12 months because of cost was significantly heterogeneous across age groups (chi F-2(2df) value = 12.40, p < .01). The risk difference between population of young adults with disability and their age peers decreased significantly across the groups. The risk difference was 15.5% for those aged 18-29, 11.9% for those aged 30-64, and 2.1% for those aged >= 65.Conclusions: This article quantifies the differences in risk and access to health care between young adults with and without disability, using population-based data. It provides indirect evidence of the widely held belief that there is a problem in healthcare transition in the United States warranting continued investigation and intervention. (C) 2011 Society for Adolescent Health and Medicine. All rights reserved.