イギリス (UK) の人口における脆弱性に対する民族の影響
A H Heald1, W Lu2, R Williams3
1The School of Medicine and Manchester Academic Health Sciences Centre, The University of Manchester, UK; Department of Endocrinology and Diabetes, Salford Royal Hospital, Salford, UK.
The Journal of frailty & aging
|September 4, 2025
まとめ
英国では脆弱性の発生率は民族によって異なるが,アジア人の割合は高く,黒人の割合は低い. COVID-19の弱い個人は,入院のリスクが増加しました.
科学分野:
- ゲロントロジー
- 公衆衛生
- 流行病学について
背景:
- 特にイギリスでは 脆弱性は公衆衛生上の問題として 増加しています
- 現存する脆弱性データは主に白人の集団から来ている.
- 脆弱性における民族的差異を理解することは 公平な医療に不可欠です
研究 の 目的:
- イギリスの大都市の人口の脆弱性に対する民族の影響を調査する.
- 脆弱性と重度のCOVID-19アウトカムとの関連を調べる.
- 多様な民族の脆弱性に関するデータ不足を解決する.
主な方法:
- グレーター・マンチェスターで 60歳以上の53万4千人の 電子医療記録の分析
- 電子脆弱性指数 (eFI) を用いた脆弱性評価
- 年齢,性別,地域欠乏に調整されたロジスティック回帰モデル (タウンズエンド指数).
主要な成果:
- 中等から重度の骨折 (eFI ≥0. 25) の罹患率は22. 1%でした.
- 白人 (22. 5%) と比較すると,アジア (28. 1%) でより高い,黒人 (18. 7%) で低い脆弱性流行が観察されました.
- 調整された分析は,アジア人 (OR=1. 61) での脆弱性のリスクが高く,白人に対して黒人 (OR=0. 73) での脆弱性のリスクが低いことを確認した.
- COVID-19 の弱い個人は,入院するリスクが著しく高かった (OR=1.61).
結論:
- イギリスの大都市圏内では 脆弱性の有病率に重大な民族的差異がある.
- アジアの民族集団は 脆弱性の割合が高く 黒人の民族集団は 白人集団と比較して 低い割合を示しています
- 脆弱性における民族的差異の要因と,COVID-19の重症度を含む健康結果への影響を明らかにするために,さらなる研究が必要である.
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