医疗覆盖率和缺血性心脏病死亡率的县级变化
Ramzi Ibrahim1, Adam Habib1, Kristina Terrani2
1Department of Medicine, University of Arizona Tucson, Tucson, Arizona, United States of America.
缺乏医疗保险与美国较高的缺血性心脏病 (IHD) 死亡率有关. 没有保险的成年人较多的地区出现了更高的IHD死亡率,这突显了严重的公共卫生问题.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医疗保健覆盖率显著影响冠状动脉疾病的患病率.
- 这项研究调查了缺乏医疗覆盖和美国缺血性心脏病 (IHD) 死亡率之间的联系.
研究的目的:
- 检查美国各县缺乏医疗覆盖的流行率与IHD死亡率之间的关系.
- 为了确定与保险状况相关的IHD死亡率的潜在差异.
主要方法:
- 利用来自CDC数据库 (2018-2019) 的县级IHD死亡率和医疗覆盖率数据.
- 根据缺乏医疗保险的流行情况,将成年人 (18-64岁) 分类为四分之一.
- 雇佣普通最小平方 (OLS) 回归以比较四分位数之间的年龄调整的IHD死亡率.
主要成果:
- 在2018-2019年期间,确定了172,942例IHD死亡.
- 在没有保险的成年人患病率最高的县 (Q4) 与患病率最低的县 (Q1) 相比,观察到更高的IHD死亡率.
- 在不同的人口统计和地区,每10万人/年出现过多的死亡,与更高的无保险率相关.
结论:
- 没有医疗覆盖的成年人更高的患病率可能与IHD死亡率的增加有关.
- 研究结果表明,需要进一步研究将保险状况与IHD死亡率联系在一起的机制.
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