美国各州内和各州之间关节疼痛的教育差异:宏观社会政治背景是否重要?
Rui Huang1, Yulin Yang2, Anna Zajacova3
1Department of Sociology, University at Buffalo, Buffalo, NY, United States.
Pain
|July 3, 2023
概括
国家政策显著影响关节炎疼痛差异. 慷慨的社会计划和更高的社会凝聚力与较低的疼痛患病率有关,而经济不平等加剧了教育疼痛差距.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 卫生政策 卫生政策
背景情况:
- 关于疼痛差异的研究往往忽视了诸如国家政策等宏观因素.
- 关节炎引起的关节疼痛显著影响生活质量,并且在各州之间存在相当大的差异.
研究的目的:
- 为了比较美国各州的关节疼痛患病率.
- 为了估计各州关节疼痛的教育差异.
- 评估国家社会政治背景对这些变化的影响.
主要方法:
- 将个人层面的数据 (407,938名成年人,2017年BRFSS) 与国家层面的政策数据联系起来.
- 包括国家措施:补充营养援助计划 (SNAP),所得税抵免,吉尼指数,社会凝聚力.
- 利用多层次的后勤回归来确定关节疼痛和差异的预测因素.
主要成果:
- 关节疼痛的患病率从6.9% (明尼苏达州) 到23.1% (西弗吉尼亚州) 不同.
- 在所有州都存在疼痛的教育差异,其程度各不相同.
- 更高的社会凝聚力和更慷慨的SNAP计划与较低的疼痛患病率有关.
- 州级吉尼指数预测,受教育程度的疼痛差异更高.
结论:
- 国家层面的政策和社会政治背景对于理解和解决关节疼痛差异至关重要.
- 针对社会计划和经济不平等的干预措施可能会减少人口层面的痛苦.
- 解决疼痛方面的教育差异需要由宏观层面因素决定的州特定策略.
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