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Are marital relationships a barrier to health care utilization in Southern Appalachia?: A dyadic examination of the link between marital quality and individual health care usage.
Families, Systems, & Health ( IF 1.3 ) Pub Date : 2020-06-25 , DOI: 10.1037/fsh0000499
Patricia N E Roberson 1 , Katherine A Lenger 2 , Tatiana Gray 2 , James Cordova 2 , Kristina C Gordon 2
Affiliation  

INTRODUCTION There are substantial health disparities in Appalachia partially due to the poor access and utilization of health care. Social support, especially in Appalachia, is consistently linked to the utilization of available health care. The present study aims to identify how on aspect of social support, relationship functioning, are associated with health care utilization for couples in Southern Appalachian. METHOD Individual and couple data (N = 147, individuals; n = 76, couples) were collected from participants interested in a brief couple interventions. Individuals and Dyadic Path analyses were conducted in Mplus using methods to account for the dependence in the data. RESULTS Relational aggression was the only marital factor linked to health care utilization in multivariate analyses while constructive communication was only linked to health care utilization in bivariate correlations, r = .24, p < .05. Dyadic results indicate that men's health care utilization may benefit from partner's relational aggression while women's utilization may be negatively influenced by her own self-reported relational aggression. DISCUSSION An individual's social context must be considered in order to completely understand barriers to health care utilization. Further, the inclusion of couple/dyadic level interventions should be considered in order to improve health care utilization in the Appalachian region and similarly rural regions. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译:

婚姻关系是否成为南部阿巴拉契亚州医疗保健利用的障碍?:对婚姻质量与个人医疗保健使用之间的联系的二元检查。

简介阿巴拉契亚州存在巨大的卫生差距,部分原因是医疗保健的获取和利用不佳。社会支持,特别是在阿巴拉契亚地区,一直与现有医疗保健的利用联系在一起。本研究旨在确定社会支持,关系功能方面如何与阿巴拉契亚南部夫妇的医疗保健利用相关联。方法从对短期夫妇干预感兴趣的参与者中收集个人和夫妇数据(N = 147,个人; n = 76,夫妇)。在Mplus中使用方法来对个体和二进路径进行分析,以说明数据中的依赖性。结果在多变量分析中,关系攻击是与卫生保健利用相关的唯一婚姻因素,而在二元相关性中,建设性交流仅与卫生保健利用相关,r = .24,p <.05。二元结果表明,男性的医疗保健利用率可能会从伴侣的关系攻击中受益,而女性的利用率可能会受到她自己报告的关系攻击的负面影响。讨论必须考虑个人的社会背景,以完全理解利用卫生保健的障碍。此外,应考虑纳入夫妇/二元干预,以提高阿巴拉契亚地区和类似农村地区的医疗保健利用率。(PsycInfo数据库记录(c)2020 APA,保留所有权利)。
更新日期:2020-06-25
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