英国喘频率,发病率和医疗服务使用的种族差异:系统性审查和元分析
Gopalakrishnan Netuveli1, Brian Hurwitz, Mark Levy
1Department of Primary Care & Social Medicine, Imperial College London, London, UK.
Lancet (London, England)
|January 25, 2005
概括
在英国,喘患病率存在种族差异. 南亚和黑人儿童的喘症状频率较低,但住院率较高,这表明流行之外的因素影响了严重喘的结果.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 喘患病率在全球范围内有所不同,并且在国家内各个族群之间可能有所不同.
- 研究喘的种族差异对于了解健康差异至关重要.
研究的目的:
- 检查英国喘频率,发病率和医疗保健利用率的种族差异.
- 确定喘结果中观察到的种族差异的潜在原因.
主要方法:
- 在多个数据库 (MEDLINE,EMBASE,CINAHL等) 中进行全面的文献搜索. ) 的情况.
- 包括书目,卫生机构网站和专家咨询.
- 使用随机效应模型进行元分析,以比较跨种族群体的喘率,发病率和医疗保健使用情况.
主要成果:
- 与黑人和白人儿童相比,南亚儿童的喘症状频率较低.
- 临床医生诊断的喘频率遵循了类似的模式,南亚儿童的发病率较低.
- 尽管患病率较低,但与白人相比,南亚人和黑人患喘住院的风险明显高.
结论:
- 观察到的喘住院人数的种族差异并不能通过患病率来解释.
- 潜在的促成因素包括喘严重程度的种族差异,寻求健康的行为以及获得初级保健的机会.
- 需要进一步的研究来解决喘护理中的这些差异.
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