在特拉华州绘制累积风险地图:健康公平的方法和影响
Madeline M Brooks1, Alicia L Salvatore, Pragyan Khanal
1Author Affiliations: Department of Epidemiology, Johns Hopkins Spatial Science for Public Health Center, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (Ms Brooks, Mr Khanal, and Dr Curriero); and Department of Human Development and Family Sciences, University of Delaware, Newark, Delaware (Dr Salvatore).
Journal of public health management and practice : JPHMP
|February 6, 2024
概括
环境和社会风险经常同时发生,不成比例地影响黑人社区和社会经济地位较低的社区. 累积风险评估揭示了这些健康差异,支持解决环境种族主义的努力.
科学领域:
- 环境健康 环境健康
- 卫生公平研究 卫生公平研究
- 社会流行病学社会流行病学
背景情况:
- 健康公平受上游决定因素的影响,包括环境和社会因素.
- 累积风险评估评估环境和社会风险的结合,以确定健康差异的驱动因素.
- 开发了一个累积风险评分来评估德拉华州新城堡县区块组级别差异.
研究的目的:
- 为了评估环境,社会和累积风险的区块级别差异在特拉华州新城堡县.
- 了解累积风险的空间分布和集群.
- 检查累积风险与种族和社会经济地位等人口因素之间的关系.
主要方法:
- 横截面研究,使用合乐图来可视化风险分布.
- 使用莫兰的I统计数据来评估累积风险的空间聚类.
- 在区块集团层面分析环境,社会和综合风险指数.
主要成果:
- 环境和社会风险经常同时发生,这表明累积风险的空间聚集是显著的.
- 累积风险较高的地区主要由黑人居民和社会经济地位较低的个人居住.
- 风险分布不均,表明不同地区的累计风险增加.
结论:
- 累积风险措施有效地证明了环境和社会风险的不公平分布,以种族和社会经济地位.
- 这些发现支持旨在减少健康差异的上游干预措施.
- 该研究强调了环境种族主义的影响以及有针对性的公共卫生战略的需要.
相关概念视频
Relative Risk
171
Relative risk (RR) is a statistical measure commonly used in epidemiology to compare the likelihood of a particular event occurring between two groups. This metric is important for evaluating the relationship between exposure to a specific risk factor and the probability of a particular outcome. It plays a crucial role in medical research, public health studies, and risk assessment. Relative risk quantifies how much more (or less) likely an event is to occur in an exposed group compared to an...
171
Strategies for Assessing and Addressing Confounding
101
Confounding is a critical issue in epidemiological studies, often leading to misleading conclusions about associations between exposures and outcomes. It occurs when the relationship between the exposure and the outcome is mixed with the effects of other factors that influence the outcome. Given that, addressing confounding is of high importance for drawing accurate inferences in research.
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
101
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
128
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
128
Design Example: Analyzing Capacity Contours for Flood Risk Assessment
47
Flood risk assessment involves careful planning and analysis to ensure the safety of communities near water retention structures. Capacity contours are a vital tool in this process, as they illustrate the potential spread of water at specific levels in a given area. In the context of building a bund across a small valley, these contours play a critical role in evaluating the safety of nearby residential areas.In this example, the bund is intended to store stormwater in the valley. The engineers...
47
Bias in Epidemiological Studies
271
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
271
Hazard Rate
109
The hazard rate, also known as the hazard function or failure rate, is a statistical measure used to describe the instantaneous rate at which an event occurs, given that the event has not yet happened. From a probabilistic perspective, it represents the likelihood that a subject will experience the event in a very small time interval, conditional on surviving up to the beginning of that interval. In terms of frequency, the hazard rate can be viewed as the ratio of the number of events to the...
109


