Receipt of preventive health services in young adults.
Receipt of preventive health services in young adults.
复制标题
DOI：
10.1016/j.jadohealth.2012.04.017
复制
发表时间：
2013-01
影响因子：
7.6
通讯作者：
Ozer, Elizabeth M.
中科院分区：
文献类型：
--
作者：
Lau, Josephine S.;Adams, Sally H.;Irwin, Charles E., Jr.;Ozer, Elizabeth M.
检查自报率和向年轻人提供预防服务方面的差距。以人口为基础的横断面分析。采用多因素Logistic回归分析年龄、性别、种族/民族、收入、保险和日常护理来源等因素对预防服务接受的影响。2005年和2007年加州健康访谈调查(CHIS)。2005年和2007年分别有3670名和3621名18-26岁的青壮年回答了CHIS的问题。自我报告接受流感疫苗接种、性病筛查、胆固醇筛查、饮食咨询、运动咨询和情绪健康筛查。投递率从16.7%(流感疫苗)到50.6%(胆固醇筛查)不等。在控制了年龄、种族/民族、收入、保险和通常的护理来源后，女性比男性更有可能接受性病筛查(p<；.001)、胆固醇筛查(p<；.01)、情绪健康筛查(p<；.001)、饮食咨询(p<；.01)和运动咨询(p<；.05)。在对年龄、种族/民族、收入和保险进行调整后，有普通护理来源的年轻人比没有普通护理来源的年轻人更有可能接受流感疫苗(P<；.05)、性病筛查(P<；.01)、胆固醇筛查(P<；.001)、饮食咨询(P<；.05)和运动咨询(P<；.05)。预防性服务的提供率普遍较低。需要作出更大的努力，为年轻人制定指导方针，以增加对这一年龄段的预防保健的提供，并解决预防性服务提供方面的性别和族裔/种族差距。
To examine self-reported rates and disparities in delivery of preventive services to young adults. Population-based cross-sectional analysis. Multivariate logistic regression was used to examine how age, gender, race/ethnicity, income, insurance, and usual source of care influence the receipt of preventive services. 2005 and 2007 California Health Interview Surveys (CHIS). 3670 and 3621 young adults aged 18-26 years who responded to CHIS 2005 and 2007, respectively. Self-reported receipt of flu vaccination, STD screening, cholesterol screening, diet counseling, exercise counseling and emotional health screening. Delivery rates ranged from 16.7% (flu vaccine) to 50.6% (cholesterol screening). Being female and having a usual source of care significantly increased receipt of services, with females more likely to receive STD screening (p<.001), cholesterol screening (p<.01), emotional health screening (p<.001), diet counseling (p<.01) and exercise counseling (p<.05) than males after controlling for age, race/ethnicity, income, insurance and usual source of care. Young adults with a usual source of care were more likely to receive a flu vaccine (p<.05), STD screening (p<.01), cholesterol screening (p<.001), diet counseling (p<.05) and exercise counseling (p<.05) than those without a usual source of care after adjusting for age, race/ethnicity, income, and insurance. Rates of preventive service delivery are generally low. Greater efforts are needed to develop guidelines for young adults to increase the delivery of preventive care to this age group, and to address the gender and ethnic/racial disparities in preventive services delivery.
登录
查看更多内容
影响因子：
12.7
作者：
DeVoe, JE;Fryer, GE;Green, L
通讯作者：
Green, L
影响因子：
5.7
作者：
Corbie-Smith, G;Flagg, EW;O'Brien, MA
通讯作者：
O'Brien, MA
影响因子：
8
作者：
Callahan, ST;Cooper, WO
通讯作者：
Cooper, WO
影响因子：
2.7
作者：
Kimberlin, Carole L.;Winterstein, Almut G.
通讯作者：
Winterstein, Almut G.
影响因子：
7.6
作者：
Adams, Sally H.;Husting, Sheila;Zahnd, Elaine;Ozer, Elizabeth M.
通讯作者：
Ozer, Elizabeth M.