健康和过敏疾病的社会决定因素 亚裔美国儿童中过敏疾病的流行率
Austin Le1, Vivian Bui2, Richie Chu3,4
1Division of Environmental Health Sciences, University of California, Berkeley, School of Public Health, Berkeley, USA.
Journal of racial and ethnic health disparities
|February 5, 2024
概括
健康的社会决定因素 (SDoH) 在亚裔美国人 (AsA) 亚组中显示出与过敏疾病患病率的不同关联. 了解这些差异是解决过敏疾病健康差异的关键.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 对过敏性疾病的种族和民族差异是有记录的.
- 健康的社会决定因素 (SDoH) 对亚裔美国人 (AsA) 分类子组内的过敏疾病患病率的影响尚不清楚.
研究的目的:
- 调查不同AsA亚组中SDoH和过敏疾病患病率之间的关联.
- 为了确定与不同AsA群体中的过敏状况相关的特定SDoH.
主要方法:
- 利用了2011-2018年国家健康访谈调查的数据.
- 进行了分组分层的多变量后勤回归分析,以建模SDoH与过敏疾病的关联.
- 根据ASA儿童的SDoH暴露,计算出了基于过敏疾病的预测概率.
主要成果:
- 大约25%的ASA儿童患有至少一种过敏疾病,患病率因子组而异 (例如,亚裔印度人20%;菲律宾/a人30%).
- 与"其他亚洲"儿童相比,亚洲印度人和中国儿童的不良SDoH较少.
- 财务不稳定和医疗保健准入问题与某些ASA子组的过敏疾病概率增加有关,而较低的教育和住房不稳定与其他组的概率降低有关.
结论:
- 在SDoH与ASA儿童中的过敏性疾病患病率的关系方面存在显著的异质性.
- 对SDoH的进一步研究可以帮助确定可修改的环境因素,以减轻ASA人群中的过敏性疾病.
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