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Access to healthcare for deaf people: a model from a middle-income country in Latin America

机译:访问聋人的医疗保健:拉丁美洲中等收入国家的模型

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OBJECTIVE To determine if there are existing healthcare access inequities among the deaf Chilean population when compared to the general Chilean population.METHODS Data were obtained from a population-based national survey in Chile. In total, 745 prelingually deaf individuals were identified. The number of times the person used the healthcare system was dichotomized and analyzed using a multivariate logistic regression model.RESULTS Prelingually deaf people had lower incomes, fewer years of education, and greater rates of unemployment and poverty when compared with the general population. Moreover, they visited more general practitioners, mental health specialists, and other medical specialists. On average, they attended more appointments for depression but had fewer general checkups and gynecological appointments than the general population.CONCLUSIONS Deaf people in Chile have a lower socioeconomic status than the rest of the Chilean population. The results from this study are similar to the findings reported for high-income countries, despite differences in the magnitude of the associations between being deaf and healthcare access. Further studies should be conducted to determine the health status of deaf people in Chile and other Latin American countries and what factors are associated with a significantly lower prevalence of gynecological appointments among deaf women when compared with non-deaf women.
机译:目的,与智利普通犬群体相比,聋人智利人群中存在现有的医疗保健机构。方法是从智利的一家人口的国家调查中获得了数据。鉴定了总共,鉴定了745个妊娠障聋人。使用医疗保健系统的人的次数与多元逻辑回归模型分析并分析。结果聋人的收入较低,教育年龄较少,与一般人群相比,更大的失业率和贫困率。此外,他们访问了更多的普通从业者,心理健康专家和其他医学专家。平均而言,他们参加了更多的抑郁症约会,但普通普通人的一般性检查和妇科约会较少。智利的聋人的合理聋人与智利人群的其他人有较低的社会经济地位。这项研究的结果与高收入国家报告的调查结果类似,尽管聋人与医疗保健之间的协会的规模差异存在差异。应进行进一步的研究,以确定智利和其他拉丁美洲国家聋人的健康状况以及与非聋妇女相比,聋妇女妇科任命的患病率明显降低。

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