Determinants of Unmet Healthcare Needs During the Final Stage of the COVID-19 Pandemic: Insights From a 21-Country Online Survey.

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH International Journal of Public Health Pub Date : 2024-10-28 eCollection Date: 2024-01-01 DOI:10.3389/ijph.2024.1607639

Samuel Lewis, Louisa Ewald, Herbert C Duber, Ali H Mokdad, Emmanuela Gakidou

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Abstract

Objectives: During the COVID-19 pandemic, essential health services experienced significant disruptions, impacting preventive and chronic care across the world.

Methods: Utilizing the Pandemic Recovery Survey (PRS), conducted online with Facebook's Active User Base across 21 countries between March and May 2023, this cross-sectional study identifies the magnitude of and key factors associated with unmet preventive and chronic care needs during the late stage of the COVID-19 pandemic.

Results: Approximately 28.2% of respondents reported unmet preventive care needs, and 42.1% experienced unmet chronic care needs, with key determinants including food insecurity (aOR 1.94, 95% CI 1.81-2.07 for preventive services; aOR 1.85, 95% CI 1.68-2.03 for existing conditions) and distrust in health professionals (aOR 1.09, 95% CI 1.03-1.15 for preventive services; aOR 1.53, 95% CI 1.41-1.66 for existing conditions).

Conclusion: The findings underscore a widespread unmet need for health services, highlighting the impact of social determinants and trust in health professionals on service disruption. The results suggest that pandemic recovery efforts should focus on the most affected groups to bridge health disparities and ensure an equitable recovery.

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COVID-19 大流行最后阶段未满足医疗保健需求的决定因素：21 国在线调查的启示。

目标在 COVID-19 大流行期间，基本医疗服务经历了严重的中断，影响了世界各地的预防和慢性病护理：本横断面研究利用大流行恢复调查（PRS），于 2023 年 3 月至 5 月期间在 21 个国家的 Facebook 活跃用户群中进行在线调查，确定了 COVID-19 大流行后期未满足的预防和慢性病护理需求的规模及相关关键因素：结果：约 28.2% 的受访者表示其预防保健需求未得到满足，42.1% 的受访者表示其慢性病护理需求未得到满足，主要决定因素包括粮食不安全（预防服务的 aOR 为 1.94，95% CI 为 1.81-2.07；现有疾病的 aOR 为 1.85，95% CI 为 1.68-2.03）和对医疗专业人员的不信任（预防服务的 aOR 为 1.09，95% CI 为 1.03-1.15；现有疾病的 aOR 为 1.53，95% CI 为 1.41-1.66）：研究结果表明，人们对医疗服务的需求普遍得不到满足，突出了社会决定因素和对医疗专业人员的信任对服务中断的影响。研究结果表明，大流行病的恢复工作应侧重于受影响最严重的群体，以缩小健康差距，确保公平恢复。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

2.20%

发文量

269

审稿时长

12 months

期刊介绍： The International Journal of Public Health publishes scientific articles relevant to global public health, from different countries and cultures, and assembles them into issues that raise awareness and understanding of public health problems and solutions. The Journal welcomes submissions of original research, critical and relevant reviews, methodological papers and manuscripts that emphasize theoretical content. IJPH sometimes publishes commentaries and opinions. Special issues highlight key areas of current research. The Editorial Board''s mission is to provide a thoughtful forum for contemporary issues and challenges in global public health research and practice.