在住院人口中,社会经济贫困与轨道创伤之间的关联
Saleha Z Munir1, Wuqaas M Munir1
1Department of Ophthalmology & Visual Sciences, University of Maryland School of Medicine, Baltimore, MD, USA.
Ophthalmic epidemiology
|June 19, 2023
概括
社会经济剥夺与轨道创伤总体相反,但这种关联因种族和性别而异. 贫困地区的白人有更高的轨道创伤的几率,与黑人不同.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 健康的社会经济决定因素
背景情况:
- 轨道创伤是紧急眼科咨询的重要原因.
- 区域级的社会经济因素可能会影响轨道创伤的发生率和模式.
研究的目的:
- 在紧急眼科设置中调查社会经济贫困和轨道创伤之间的关系.
- 分析区域级社会经济地位如何改变轨道创伤的风险.
主要方法:
- 这是一项横截面研究,利用来自马里兰大学医学系统的5年电子健康记录数据.
- 患者数据与地区级社会经济贫困困难社区指数 (DCI) 的相关性.
- 多变量逻辑回归模型被用来计算几率比率 (OR) 和95%置信区间 (CI),并根据年龄进行调整.
主要成果:
- 在3811个紧急诊所中,有19.7%涉及轨道创伤.
- 在最困难的社区 (DCI五分位数5) 的个人有较低的轨道创伤的几率 (OR=0.59) 与那些在繁荣的社区.
- 根据种族和性别观察到显著的相互作用:困境地区的白人个体的几率更高 (OR=1.71),而黑人个体的几率更低 (OR=0.47). 与男性 (OR=0.70) 相比,陷入困境地区的女性的几率较低 (OR=0.46).
结论:
- 在更高的社会经济贫困和轨道创伤之间存在一个整体的反向关联.
- 社会经济贫困和轨道创伤之间的关联因种族而异,白人有积极的关联,黑人有反向的关联.
- 性行为也改变了这种关联,贫困地区的女性经历轨道创伤的几率较低.
相关概念视频
Social Traps
Social traps are negative situations where people get caught in a direction or relationship that later proves to be unpleasant, with no easy way to back out of or avoid. The concept was orignally introduced by John Platt who applied psychology to Garrett Hardin's "Tragedy of the Commons", where in New England herd owners could let their cattle graze in the common ground. This situation seems like a good idea, but an individual could have an advantage. If they owned more cows, the larger...
Restorative Care
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
Specialized Care Centers and Settings-II
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Classification of Illness
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe and...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe and...
Pulmonary Tuberculosis I
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Close Relationships and Culture
Culture shapes how people approach attraction, choose partners, and build long-term relationships. While some preferences in mate selection appear consistent across cultures, such as men valuing physical attractiveness and women emphasizing financial resources, cultural contexts influence how these preferences are expressed and prioritized. Marriage extends beyond romantic ideals in many societies and is deeply embedded in social, economic, and religious frameworks.The Role of Culture in Mate...


