2011年から2021年までの米国の50州における福祉政策,関節痛の流行,教育のギャップ:固定効果分析
Rui Huang1, Yuhang Li2, Feinuo Sun3
1Department of Sociology and Criminology, University at Buffalo, Buffalo, NY, USA.
The journal of pain
|September 4, 2025
まとめ
関節炎の罹患率と教育格差は 全国的に増加しており 州によって異なります 寛大なメディケイドの政策は 痛みを軽減するのに役立ちます 特に教育程度が低い人の場合です
科学分野:
- 公衆衛生
- 健康 経済
- 流行病学
背景:
- 関節炎に関連した関節痛の地理的差異とその時間的傾向は十分に研究されていません.
- 州レベルの福祉政策がこれらの格差に及ぼす影響は,ほとんど未調査のままである.
研究 の 目的:
- 米国各州における中度重度の関節炎関連の関節痛の空間時間的傾向を分析する.
- 関節痛の流行における教育の格差を調べる
- 国家福祉政策 (SNAP,EIC,最低賃金,UI,メディケイド) が関節痛や教育格差に与える影響を評価する.
主な方法:
- 行動リスク因子監視システム (BRFSS) の6波の州レベルパネルデータを活用した.
- 流行傾向と教育格差を推定するためにロジスティック回帰を用いた.
- SPPDとKFFからの政策データを組み込み,州および年ごとに固定された効果を持つ適用された固定効果回帰.
主要な成果:
- ほとんどの州で 関節痛の流行が増加し 教育の格差が半分以上も拡大しています
- コロラド州とノースダコタ州ではより急激に増加している.
- 寛大なメディケイドプログラムは 関節痛の罹患率を低下させました 特に教育程度が低い人群ではそうです
結論:
- 国の福祉政策は 苦痛の格差を軽減する上で 重要な役割を果たします
- 関節痛の負担が大きい 低学歴の人々を支援するために ターゲットを絞った介入が必要です
- マクロレベルでの政策決定要因は 痛みの流行と関連する格差に大きな影響を及ぼします
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