美国儿童和成年人的喘差异
Cynthia A Pate1, Xiaoting Qin1, Carol Johnson1
1Asthma and Community Health Branch, Division of Environmental Health Science and Practice, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, GA, USA.
概括
喘不成比例地影响了美国的某些人口. 诸如收入和支付医疗费用的困难等社会经济因素与儿童和成人中喘患病率和发作的增加有关.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 喘在美国是一个重大的公共卫生问题,影响儿童和成年人.
- 了解与喘患病率和喘发作相关的人口和社会经济因素对于有针对性的干预至关重要.
研究的目的:
- 评估与美国儿童和成人喘流行和喘发作相关的因素.
- 确定喘结果中的特定的人口和社会经济差异.
主要方法:
- 2019-2021年国家卫生面试调查数据的分析.
- 使用多变量后勤回归模型来确定健康结果与人口/社会经济因素之间的关联.
- 根据年龄,性别和种族/种族进行了调整.
主要成果:
- 喘在男孩,黑人儿童以及父母教育程度较低或公共保险的人群中更为常见.
- 教育水平较低,没有房屋所有权或不在劳动力市场的成年人患喘率更高.
- 难以支付医疗费用和较低的家庭收入 (<100%或100-199%的联邦贫困线) 与儿童和成人喘患病率和喘发作增加显著相关.
结论:
- 在特定的人口和社会经济群体中,喘患病率和发作不成比例地高.
- 这些发现凸显了美国持续存在的喘差异.
- 需要提高公共卫生计划的意识,以便为弱势群体开发有效的,基于证据的干预措施.
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