社会经济因素是否会影响阿托皮性皮肤炎的结果? 一个单一中心的研究研究
Antonia Reimer-Taschenbrecker1,2,3, Moriel Daniel1, Stephanie M Rangel1
1Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Pediatric dermatology
|October 10, 2023
概括
收入和种族等社会经济因素并没有显著影响芝加哥儿童的亚托皮炎 (AD) 严重程度. 获得高质量的护理可能比以前认为的在AD结果中发挥更大的作用.
科学领域:
- 皮肤病学 皮肤病学
- 公共卫生 公共卫生
- 健康的社会决定因素
背景情况:
- 社会经济地位和种族被怀疑会影响亚托皮炎 (AD) 严重程度,但研究结果在全球范围内有所不同.
- 在阿尔茨海默病差异中,健康的社会决定因素和生物因素之间的相互作用仍然不清楚.
研究的目的:
- 在芝加哥的一个儿科队列中调查空间衍生的社会经济因素和AD严重程度之间的相关性.
- 评估这些因素与患者报告结果 (PROs) 之间的关系.
主要方法:
- 一项横截面研究招募了216名患有AD的儿童 (5-17岁) 和他们的照顾者.
- 使用自我和医生验证的措施来评估亚托皮炎严重程度.
- 患者地址被地理编码为人口普查地带,2018年美国社区调查被用于计算贫困指数 (DI).
主要成果:
- 该研究包括216名儿童,其中大多数居住在城市或郊区.
- 贫困指数 (DI) 与保险类型,收入,种族,种族和父母教育相关,并且与PRO T-score相对较弱.
- 在AD严重程度得分和DI,种族,种族,收入,教育或保险类型之间没有发现显著的相关性.
结论:
- 社会经济因素对阿尔茨海默病的严重程度的影响不那么明显,而不是在这个总部位于芝加哥的队列中预期的.
- 区域差异,可能包括获得高质量的医疗保健,可能会减轻社会经济地位对AD结果的影响.
- 需要进一步的研究来探索医疗保健准入在调解社会经济地位和AD结果之间的关系中的作用.
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