在健康與退休研究中照顧者提供的臨床預(yù)防服務(wù)質(zhì)量【外文翻譯】

1、本科畢業(yè)設(shè)計(jì)（論文）外文翻譯原文原文:QualityofPreventiveClinicalServicesAmongCaregiversintheHealthRetirementStudyAbstract：Weexaminedtheassociationbetweencaregivingfaspousepreventiveclinicalservices(selfreptedinfluenzavaccinationcholestero

2、lscreeningmammographyPapsmearprostatecancerscreeningover2yearsmonthlyselfbreastexam)fthecaregiverinacrosssectionalanalysisoftheHealthRetirementStudyanationallyrepresentativesampleofU.S.adultsaged≥50years(N=11394).Spouses

3、engagedin01–14≥14hoursperweekofcaregiving.Eachservicewasexaminedinlogisticregressionmodelsadjustingfcaregiveracteristics.Afteradjustmentfcovariatestherewerenosignificantassociationsbetweenspousalcaregivinglikelihoodofcar

4、egiverreceiptofpreventiveservices.KEYWDS:caregivingpreventionmammographyinfluenzacholesterol.Over6millionadultsintheUnitedStatesprovidelongtermunpaidcaretodisabledelderlypersonsintheirfamiliesparticularlyelderlyspouses.T

5、hesecaregiversareatincreasedriskofmtality.Possibleexplanationsincludehigherratesofnegativehealthbehavishealthoutcomesamongcaregiverssuchasnothavingenoughtimetoexercisefgettingtotakepreionmedicationsfatiguedepressionwsebl

6、oodpressurelipidcontrol.Itisunclearwhethertheassociationbetweencaregivingmtalityisalsomediatedthroughpoerqualityhealthcaretothecaregiversincludingdecreaseddeliveryofpreventiveclinicalservices.Caregivingconsumestimefinanc

7、ialresourcesthatmayinterferewithproperpreventivecare.IntheCaregiverHealthEffectsStudytherewasnoassociationbetweencaregivingcaregiverreceiptofimmunizationsanotherstudyofcaregivingfoundnoassociationbetweencaregivingaseatin

8、gtransferringtoiletingdressingbathingwalkingacrossaroominstrumentalactivityofdailyliving(IADL)suchaspreparingmealsgroceryshoppingmakingtelephonecallstakingmedicationsmanagingmoneyintheprimonthfromarelative(paidnot)unpaid

9、nonrelativewithnoganizationalaffiliation.14RespondentswhodidnotnmallyperfmanIADLsuchasshoppingwerenotclassifiedashavinganIADLimpairmentnashavingreceivedhelpfthatIADL.Thenumberofweeklyhoursofinfmalhomecarewascalculatedusi

10、ngtheaveragenumberofdaysperweek(intheprimonth)theaveragenumberofhoursperdaythatrespondentsreptedreceivinghelpfromtheirspouse.15Wecreatedtertilesofthenumberofhoursofcaregivingreceivedfromthiswewereabletocreatethreecategie

11、sofcaregivingfthespouses.Caregiversweregroupedintothreecategies:notprovidingcare(noncaregivers)providingcaref1to14hoursaweekprovidingcarefmethan14hoursperweek.StatisticalAnalysisToexaminetheassociationbetweenthedependent

12、variableofcaregiverreceiptofclinicalservicetheindependentvariableofcaregivingweexaminedeachclinicalserviceindividuallyusinglogisticregressionmodels.Allanalyseswereweightedfdifferentialprobabilityofionadjustedfthecomplexs

13、amplingdesignoftheHRS.Wetestedfsignificantinteractionsbetweenallcovariatesregressiondiagnosticswereperfmedtocheckfmodelassumptions.Allcovariatesreflectacteristicsofthecaregivernottherecipientofcareexceptfthepresenceofpai

14、d(fmal)homecare(Table1).Weperfmedsensitivityanalyseswhereweexcludeddataobtainedfromproxyrespondents(N=1290)butfoundlittlechangeintheresults(resultsnotshown)therefepresenttheresultsincludingthesedata.Duetothepossibilityth

15、atwewereoveradjustingbyincludingbothcaregivercombiditiescaregiverhealthstatusinthemodelweconstructedmodelswithwithoutcaregiverchronicmedicalconditionsbasedonthelsoncombidityindex16caregiverhealthstatusfoundlittledifferen