螺旋测量种族校正对青春期前黑人和白人儿童的影响
Alexandra R Sitarik1, Ganesa Wegienka1, Christine C Johnson1
1Department of Public Health Sciences, Henry Ford Health, Detroit, Mich.
概括
螺旋测试中的种族校正显著影响了黑人儿童肺部疾病的分类. 删除基于种族的调整可能会提高喘诊断的准确性,并与现代医学理解保持一致.
科学领域:
- 肺部医学 肺部医学
- 儿科健康 儿科健康
- 医学诊断 医学诊断 医学诊断
背景情况:
- 螺旋测量中的种族校正是标准的,但植根于对黑人肺部解剖学的潜在种族主义假设.
- 这些纠正可能导致黑人人口肺部疾病的诊断不足.
研究的目的:
- 为了评估黑人和白人青春期前的精神测量中种族校正的影响.
- 对黑人儿童的喘症状频率进行检查,基于种族纠正与种族未纠正的螺旋计结果.
主要方法:
- 分析了来自底特律10岁黑人和白人儿童出生队伍的螺旋计数据.
- 应用全球肺部倡议2012年用和没有种族纠正的方程.
- 评估并发性喘症状和控制,使用经过验证的问卷.
主要成果:
- 种族校正对FEV1/FVC比率的影响很小,但在黑人儿童中显著改变了FEV1和FVC分类.
- 黑人儿童的异常螺旋测量分类与种族不正确的方程相比翻了一番多.
- 具有种族差异FEV1分类的黑人儿童报告了更高的喘症状率.
结论:
- 种族纠正显著影响黑人儿童的精神测量分类,影响了喘症状报告.
- 螺旋测量参考方程需要重新评估,以符合当前医学中对种族的科学理解.
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