种族/族裔和性别一致性对非怀孕育龄女性糖尿病患者护理的影响:对 2010-2019 年医疗支出小组调查的分析》(The Influence of Racial/Ethnic and Gender Concordance on Care Among Non-Pregnant Women of Childhood Mellitus with Diabetes Mellitus: an Analysis of Medical Expenditure Panel Survey, 2010-2019)。
IF 3.2 3区 医学Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Tiffany B Kindratt, Grace Ellen Brannon, Godfred O Boateng, Kyrah K Brown
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The sample was limited to non-pregnant women of childbearing age (18-45 years) diagnosed with diabetes (unweighted n = 327; weighted n = 566,504). Bivariate analysis, logistic regression, and latent variable modeling were performed.</p><p><strong>Results: </strong>Few racially minoritized women reported racial/ethnic and gender concordance with their healthcare provider. Only 2.9% of Hispanic women reported having a Hispanic provider and 12.1% of non-Hispanic Black women reported seeing a non-Hispanic Black provider compared to 81.1% of non-Hispanic White women who reported seeing a non-Hispanic White provider (p < .0001). Among Hispanic women, 15.3% reported seeing a female provider compared to 25.2% of non-Hispanic Black and 53.5% of non-Hispanic White women. 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引用次数: 0
摘要
简介本研究探讨了在调整社会人口因素之前和之后,患者与医疗服务提供者的种族/民族一致性和性别一致性与非怀孕育龄女性糖尿病患者的总体医疗评分、自我效能感和糖尿病护理监测之间的关系:我们分析了 2010-2019 年医疗支出小组调查的纵向数据。样本仅限于确诊患有糖尿病的非怀孕育龄妇女(18-45 岁)(未加权 n = 327;加权 n = 566 504)。研究人员进行了二元分析、逻辑回归和潜变量建模:很少有少数种族妇女报告与医疗服务提供者在种族/族裔和性别方面保持一致。只有 2.9% 的西语裔妇女报告有西语裔医疗服务提供者,12.1% 的非西语裔黑人妇女报告有非西语裔黑人医疗服务提供者,相比之下,81.1% 的非西语裔白人妇女报告有非西语裔白人医疗服务提供者(p 结论:该研究揭示了医疗服务提供者之间的巨大差异:本研究显示,与非西班牙裔白人女性相比,少数民族育龄女性糖尿病患者在种族/族裔和性别一致性方面存在巨大差异。有必要开展规模更大、更有力的研究,以探讨医疗服务提供者和其他医疗保健特征对这一研究不足人群的糖尿病相关结果的影响。
The Influence of Racial/Ethnic and Gender Concordance on Care Among Non-Pregnant Women of Childbearing Age with Diabetes Mellitus: an Analysis of the Medical Expenditure Panel Survey, 2010-2019.
Introduction: This study examined associations between patient-provider race/ethnicity concordance and gender concordance on overall healthcare ratings, self-efficacy, and diabetes care monitoring in non-pregnant women of childbearing age with diabetes mellitus before and after adjusting for sociodemographic factors.
Methods: We analyzed longitudinal data from the 2010-2019 Medical Expenditure Panel Survey. The sample was limited to non-pregnant women of childbearing age (18-45 years) diagnosed with diabetes (unweighted n = 327; weighted n = 566,504). Bivariate analysis, logistic regression, and latent variable modeling were performed.
Results: Few racially minoritized women reported racial/ethnic and gender concordance with their healthcare provider. Only 2.9% of Hispanic women reported having a Hispanic provider and 12.1% of non-Hispanic Black women reported seeing a non-Hispanic Black provider compared to 81.1% of non-Hispanic White women who reported seeing a non-Hispanic White provider (p < .0001). Among Hispanic women, 15.3% reported seeing a female provider compared to 25.2% of non-Hispanic Black and 53.5% of non-Hispanic White women. Patient-provider race/ethnicity and gender concordance were not statistically significantly associated with overall healthcare ratings, self-efficacy, or diabetes care monitoring.
Conclusions: This study revealed a large disparity in race/ethnicity and gender concordance among minority women of reproductive age with diabetes compared to their non-Hispanic White counterparts. There is a need for larger, more robust studies to examine the influence of provider and other healthcare characteristics on diabetes-related outcomes in this understudied population.
期刊介绍:
Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.