Psychological and neighborhood factors associated with urban women's preventive care use
Psychological and neighborhood factors associated with urban women's preventive care use
复制标题
DOI：
10.1007/s10865-019-00122-4
复制
发表时间：
2020-06-01
影响因子：
3.1
通讯作者：
Molina, Kristine
中科院分区：
文献类型：
--
作者：
Veldhuis, Cindy B.;Maki, Pauline;Molina, Kristine
女性比男性更有可能放弃护理，包括预防性护理。了解哪些因素影响女性预防性护理的使用有可能改善健康。本研究通过对芝加哥社区成人健康研究的二次分析，重点关注心理障碍（抑郁）和邻里因素（支持和压力源）方面尚未充分研究的领域，这些领域可能与女性预防性护理的使用有关。在各个模型中，预防性护理依从性的差异中有 30-40% 是由社区解释的。当包括邻里因素时，抑郁症状与预防性护理的使用无关。然而，分层模型显示，关联因种族/民族而异。以前的研究往往侧重于护理的个人决定因素，但这项研究表明护理的障碍要复杂得多。旨在提高护理利用率的努力需要多管齐下，干预措施需要考虑个人的人口统计、心理健康和背景。
Women are more likely than men to forego care-including preventive care. Understanding which factors influence women's preventive care use has the potential to improve health. This study focuses on the largely understudied areas of psychological barriers (depression) and neighborhood factors (support and stressors) that may be associated with women's preventive care use through secondary analysis of the Chicago Community Adult Health Study. Across models, 30-40% of the variance in preventive care adherence was explained by the neighborhood. Depressive symptoms were not associated with preventive care use when neighborhood factors were included. However, stratified models showed that associations varied by race/ethnicity. Previous research has tended to focus on individual determinants of care, but this study suggests that barriers to care are far more complex. Efforts aimed at improving care utilization need to be multipronged and interventions need to take an individual's demographics, mental health, and context into account.