Geographical accessibility of community social services and incidence of self-harm.
Spat Spatiotemporal Epidemiol
; 33: 100334, 2020 Jun.
Article
en En
| MEDLINE
| ID: mdl-32370942
ABSTRACT
OBJECTIVE:
The study aimed to explore the association between area-based coverage of community services and the incidence of self-harm, which will provide an evaluation framework for the support of self-harm.METHODS:
Enhanced two-Step floating catchment area method was used to estimate the centersto- population ratio and geographical accessibility adjusted by a distance-decay function. Spearman's rank coefficient was used to examine the association between the self-harm rate and adjusted accessibility index.RESULTS:
There was a significant negative correlation between the accessibility index and selfharm rate in youth (rho = -0.87, P < 0.01) and older adults (rho = -0.87, P < 0.01). The survival curves showed no relationship between self-harm repetition and service accessibility in youth or older adults.CONCLUSIONS:
The uneven spatial accessibility of community social service centers and the independence between spatial accessibility and self-harm highlights the need to explore personal barriers to community service utilization.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
2_ODS3
Problema de salud:
2_cobertura_universal
Asunto principal:
Servicio Social
/
Conducta Autodestructiva
/
Servicios de Salud Comunitaria
/
Análisis Espacial
/
Accesibilidad a los Servicios de Salud
Tipo de estudio:
Diagnostic_studies
/
Incidence_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
Límite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
País/Región como asunto:
Asia
Idioma:
En
Revista:
Spat Spatiotemporal Epidemiol
Año:
2020
Tipo del documento:
Article