社会风险因素与微生物角膜炎患者呈现视力敏度的关联
Patrice M Hicks1, Leslie M Niziol1, Paula Anne Newman-Casey1,2
1Kellogg Eye Center, Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor.
JAMA ophthalmology
|June 15, 2023
概括
邻居社会因素与微生物角质炎 (MK) 的视力恶化有关. 了解这些社会决定因素可以帮助解决影响眼睛健康的健康不平等问题,并为公共卫生政策提供信息.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
背景情况:
- 社区层面的社会风险因素可能会导致微生物角质炎 (MK) 疾病呈现的健康差异.
- 了解这些社区层面的因素可以确定修订卫生政策的领域,以解决影响眼睛健康的不平等问题.
研究的目的:
- 调查社会风险因素与在MK患者中呈现最佳校正视敏度 (BCVA) 之间的关联.
- 确定与MK患者视觉结果较差相关的特定社区级因素.
主要方法:
- 在2012年8月至2021年2月期间,对2990名被诊断为MK的患者进行了横截面研究.
- 收集的个人数据 (年龄,性别,种族,民族) 和社区层面的数据 (贫困,不平等,住房,交通).
- 使用后勤回归来评估邻居因素之间的关联,并呈现比20/40更差的BCVA,调整为人口统计学.
主要成果:
- 超过一半 (53.9%) 的患者表现出BCVA比20/40.更糟糕.
- 呈现较差的BCVA与年龄较大,男性性别,黑人和白人种族以及非西班牙裔种族有关.
- 在人口调整后,增加的区域贫困指数,隔离和减少的汽车接入与更糟糕的BCVA呈现的更高几率显著相关.
结论:
- 患者的特征和住宅邻里因素与微生物角质炎的表现时的疾病严重程度有关.
- 这些发现突出了健康的社会决定因素对眼睛健康结果的影响.
- 可能会为MK患者的未来研究和公共卫生干预提供信息.
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