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美国自闭症儿童可预防住院病例的地理差异
Wanqing Zhang1, Khalilah R Johnson2
1Department of Health Sciences, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Children (Basel, Switzerland)
|July 29, 2023
概括
自闭症儿童可预防的住院治疗在美国显示出显著的地理和种族差异. 患有自闭症的黑人儿童的住院率更高,特别是在东北部和南部地区.
科学领域:
- 儿科卫生服务研究 儿童卫生服务研究
- 健康差异 在健康上的差异
- 自闭症谱系障碍研究研究
背景情况:
- 关于自闭症儿童因出院护理敏感疾病 (ACSCs) 的可预防住院病例的地理差异的研究有限.
- 了解这些差异对于改善这一群体的医疗保健准入和结果至关重要.
研究的目的:
- 为了检查美国区域差异的潜在可预防的儿童住院患者诊断自闭症的住院住院.
- 调查美国不同地区住院病人的种族和民族差异.
主要方法:
- 利用了2016-2019年国家住院样本 (NIS) 医院出院数据,用于六种儿科可预防的疾病.
- 在美国四个地区进行多次后勤回归分析,以确定与ACSC住院相关的因素.
- 通过美国人口普查地区和部门,探索了种族和种族群体之间可预防住院治疗的差异.
主要成果:
- 在138,305名自闭症住院患者 (年龄为2-17岁) 中,大约10%的初级诊断与ACSCs有关.
- 可预防住院病例比例最高的发生在中大西洋地区 (东北地区).
- 观察到显著的种族差异,在美国四个地区中的三个地区,自闭症的黑人儿童比白人儿童更容易因ACSC住院.
结论:
- 这项研究强调了美国自闭症儿童在潜在可避免的住院治疗中存在显著的种族差异.
- 研究结果强调,需要解决自闭症儿童获得初级保健的健康不平等问题.
- 建议进行进一步的研究,以了解潜在的机制,并为目标区域政策和临床实践提供信息.
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