在健康差异研究中使用集群透方法的应用
Chiyoung Lee1, Jiepin Cao2, Rosa Gonzalez-Guarda3
1School of Nursing & Health Studies, University of Washington Bothell, Bothell, Washington, USA.
Journal of advanced nursing
|July 10, 2023
概括
集团透揭示了家庭功能障碍和吸烟如何关联拉丁裔人口的健康差异. 识别这些重叠因素为健康干预提供了新的目标.
科学领域:
- 网络科学和社区检测算法.
- 复杂系统和健康差异的分析.
背景情况:
- 重叠社区检测对于理解复杂网络至关重要.
- 健康差异是由相互关联的综合性疾病和风险因素所塑造的.
研究的目的:
- 证明小组透的实用性,用于识别健康差异网络中的重叠社区.
- 突出Latinx人口中跨多个社区具有强烈关联的节点.
主要方法:
- 一个采用网络分析的横截面研究.
- 在拉丁美洲人口中,雇佣集团对综合症状况 (艾滋病毒风险,药物滥用,精神健康) 和风险因素 (ACE,社会经济因素) 的网络进行了透 (N=1654).
- 使用R包"bootnet"和"CliquePercolation"进行了网络估计和集团透.
主要成果:
- 确定了三个不同的社区:社区1 (ACE类别),社区2 (教育,收入,获得服务) 和社区3 (综合症状况).
- 艾滋病毒风险和心理健康不佳并没有被分配给任何特定的社区.
- 确定了两个重叠的关键节点:"家庭功能障碍" (社区1和2) 和"吸烟" (社区2和3).
结论:
- 家庭功能障碍是不利的童年经历 (ACE) 和个人/结构障碍之间的关键联系,有助于健康差异.
- 吸烟成为一个显著的风险行为,将社会经济因素与药物滥用 (大麻使用,重度饮酒) 联系起来.
- 集团透有效地阐明了复杂的健康差异系统,重叠的节点代表了边缘化人口的潜在干预目标.
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