收入变化与黄疹风险之间的关联:LIFE研究
Hiroaki Onizuka1, Haruhisa Fukuda2
1Department of Interdisciplinary Science and Innovation, School of Interdisciplinary Science and Innovation, Kyushu University, Fukuoka, Japan; Department of Social Epidemiology, Graduate School of Medicine and School of Public Health, Kyoto University, Kyoto, Japan.
Social science & medicine (1982)
|June 3, 2023
概括
显著的收入下降增加了中年成年人疹病毒 (HZ) 的风险. 促进对处于经济困境的低收入人群进行疫苗接种可以减轻HZ发病率.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生经济学 卫生经济学
背景情况:
- 经济稳定与健康结果有关.
- 收入波动可能会影响疹 (HZ) 的发病率.
研究的目的:
- 调查年收入变化与新出现的HZ病例之间的关联.
- 分析与日本人口收入下降和增长相关的HZ风险.
主要方法:
- 使用日本医疗保险索赔和行政数据进行的回顾性队列研究.
- 在2016年4月至2020年3月期间,分析了45-64岁的48,317名个人.
- 考克斯的比例危险回归模型根据收入变化 (不变,上升,下降) 来评估HZ风险.
主要成果:
- 收入下降显著与HZ的更高危险比率相关 (HR:1.15,95%CI:1.00-1.31).
- 收入增长与HZ发病率没有显著关联.
- 收入下降的最低基线收入群体中的个人具有明显更高的HZ风险 (HR: 1.56,95% CI: 1.13-2.15).
结论:
- 实质性的收入减少是患上黄疹病毒的危险因素.
- 针对收入下降的低收入人群的有针对性的疫苗接种计划和补贴可能会减少HZ发病率.
- 公共卫生策略应考虑社会经济因素来管理HZ风险.
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