邻居机会和脆弱性以及儿童中喘事件
Izzuddin M Aris1, Wei Perng2,3, Dana Dabelea2,3,4
1Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts.
JAMA pediatrics
|August 28, 2023
概括
早期更高的邻居机会与儿童喘发病率的降低有关. 投资社区资源可能会促进儿童喘的健康公平.
科学领域:
- 环境健康 环境健康
- 儿科流行病学 儿科流行病学
- 健康的社会决定因素
背景情况:
- 儿童喘患病率是一个重大的公共卫生问题.
- 邻里身体和社会特征在儿童喘中的作用还没有得到充分研究.
- 了解社区的影响对于制定有针对性的干预措施至关重要.
研究的目的:
- 调查社区机会与社会脆弱性以及儿童喘发病率之间的关联.
- 量化社区特征对儿科喘发展的影响.
- 确定在预防喘方面改善健康公平的潜在目标.
主要方法:
- 一项队列研究利用了环境影响儿童健康结果 (ECHO) 计划的数据.
- 儿童喘发病率是根据医生诊断报告进行评估的.
- 使用波桑回归模型分析了社区级儿童机会指数 (COI) 和社会脆弱性指数 (SVI).
主要成果:
- 较高的儿童机会指数 (COI) 在出生,婴儿和幼儿时期的得分与较低的儿童喘发病率有关.
- COI和喘之间的关联独立于社会人口统计学因素和父母病史.
- 社会脆弱性指数 (SVI) 与这一队列中的喘发病率没有显著关联.
结论:
- 在生命早期增加邻居机会与儿童喘风险降低有关.
- 研究结果表明,对社区健康,环境,社会和经济资源的投资可能会促进儿童喘的健康公平.
- 需要进一步的研究来探索因果途径和干预潜力.
相关概念视频
Asthma-I: Introduction
2.7K
Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
2.7K
Asthma-III: Symptoms and Complications
2.5K
Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Classification of Asthma
2.5K
Asthma-II: Pathophysiology and Classification
2.7K
Asthma is a prevalent chronic respiratory condition marked by inflammation and hyperresponsiveness of the airways. Its pathophysiology involves complex interactions among inflammatory pathways, immune responses, and neural mechanisms.
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
2.7K
Asthma: Pathogenesis and Management
442
Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
442
Asthma-IV: Diagnostic and Management
2.5K
The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
2.5K
Asthma-IV: Nursing Management
3.1K
The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
First, in...
3.1K


