首选语言调解了种族,种族和COVID-19危急病患者的延迟表现之间的关联
Michael S Kelly1, Adna Mohammed1, Daniel Okin1,2,3
1Department of Medicine, Massachusetts General Hospital, Boston, MA.
Critical care explorations
|June 19, 2023
概括
首选语言显著延迟了种族和少数民族的关键COVID-19护理. 解决语言障碍对于减少差异和改善紧急护理患者的结果至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
- 传染病流行病学 传染病流行病学
背景情况:
- 在COVID-19护理获取和结果方面,种族和种族差异仍然存在,潜在的社会因素仍然不清楚.
- 了解这些差异对于在公共卫生危机期间制定公平的医疗保健战略至关重要.
研究的目的:
- 调查假设,首选的语言作为种族/种族之间的调解者,并延迟访问COVID-19护理.
- 确定导致COVID-19患者及时医疗护理差异的关键社会因素.
主要方法:
- 一项多中心的回顾性队列研究包括2020年在马萨诸塞州三家医院接受ICU治疗的成年COVID-19患者.
- 使用因果调解分析来评估首选语言,保险状况和社区特征作为潜在调解者的作用.
- 这项研究分析了种族,种族,喜欢的语言和从症状发作到入院的时间之间的关联.
主要成果:
- 非西班牙裔白人患者更倾向于选择英语,有保险,生活在社会脆弱性较低的地区,但患上更多的并发症,并且年龄较大.
- 偏爱非英语语言的患者在入院时间出现显著延迟 (1.29天,p < 0.01).
- 偏好语言调解了种族/种族和住院延迟之间的63%的影响 (p = 0.02),而保险和社会脆弱性没有.
结论:
- 偏好语言是种族和民族差异的重要调解者,延迟了关键的COVID-19护理呈现.
- 早期诊断对于有效的COVID-19治疗至关重要,延迟与死亡率增加有关.
- 对偏好语言的影响进行进一步的研究对于开发干预措施以确保公平护理至关重要.
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