英国の喘息の頻度,罹病率,および医療サービスの利用における民族的変動:体系的なレビューとメタ解析
Gopalakrishnan Netuveli1, Brian Hurwitz, Mark Levy
1Department of Primary Care & Social Medicine, Imperial College London, London, UK.
Lancet (London, England)
|January 25, 2005
まとめ
イギリスでは,喘息の流行に民族的差異がある. 南アジア系と黒人の子どもは,喘息の症状の頻度が低いが,入院率が高いことが示されており,流行を超えた要因が重度の喘息の結果に影響することを示唆しています.
科学分野:
- 公衆衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
- 呼吸器医学とは
背景:
- 喘息の罹患率は世界的に異なっており,各国の民族によって異なる可能性があります.
- 喘息の民族的多様性を調査することは,健康格差を理解するために不可欠です.
研究 の 目的:
- イギリスにおける喘息の頻度,罹病率,および医療利用における民族的差異を調べる.
- 喘息のアウトカムにおける観察された民族的差異の潜在的な理由を特定する.
主な方法:
- 複数のデータベース (MEDLINE,EMBASE,CINAHLなど) での包括的な文献検索 ) を実施する.
- 図鑑,保健当局のウェブサイト,専門家の相談などを含める.
- ランダム効果モデルを用いたメタ解析で,各民族の喘息率,罹病率,医療利用を比較した.
主要な成果:
- 南アジアの子どもたちは,黒人と白人の子どもと比較して,喘息の症状の頻度が低いと報告しています.
- 臨床医が診断した喘息の頻度は,似たようなパターンをたどり,南アジア人の子供ではより低い割合を示した.
- 罹患率が低いにもかかわらず,南アジア人および黒人は,白人と比較して,喘息で入院するリスクが著しく高かった.
結論:
- 喘息の入院における観察された民族的差異は,流行率によって説明されません.
- 潜在的に寄与する要因には,喘息の重度の民族的変動,健康を求める行動,および初等医療へのアクセスが含まれます.
- 喘息のケアにおけるこれらの格差に対処するために,さらなる研究が必要である.
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