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在患有先天性免疫错误的患者中,早期死亡率存在种族和种族差异
Mei-Sing Ong1, Nicholas L Rider2, Sarah Stein1
1Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Mass.
The Journal of allergy and clinical immunology
|October 6, 2023
概括
在美国,因先天性免疫缺陷 (IEI) 的死亡率存在种族和民族差异. 与白人患者相比,黑人患者面临的IEI死亡风险明显高.
科学领域:
- 免疫学 免疫学 免疫学
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 在美国,预期寿命的种族和民族差异得到了充分记录.
- 关于先天性免疫错误 (IEI) 患者的预期寿命差异的数据有限.
研究的目的:
- 检查美国IEI患者死亡率的种族和民族差异.
- 量化死亡率,并识别种族和民族之间IEI相关死亡的差异.
主要方法:
- 分析国家卫生统计中心2003年至2018年的死亡率数据.
- 对IEI的年龄调整和特定年龄的死亡率的量化,按种族和种族划分.
- 对种族/种族与早逝 (65岁和24岁之前) 之间的关联进行了检查.
主要成果:
- 在2003年至2018年期间,IEI是14970人死亡的原因.
- 黑人患者患IEI的年龄调整死亡率最高 (每100万人年4.25).
- 黑人患者在65岁之前死亡的几率明显更高 (OR=5.15),而西班牙裔患者在24岁之前 (OR=3.60).
结论:
- 该研究揭示了IEI相关死亡率的重大种族和民族差异.
- 迫切需要解决和消除护理边缘化的IEI患者的障碍.
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