种族和种族与间歇性肺病的关联以及系统性硬化症患者的医疗保健利用情况
medRxiv : the preprint server for health sciences
|February 14, 2024
概括
在全身性硬化症 - 间歇性肺病 (SSc-ILD) 中存在种族和民族差异,少数群体经历了更早的诊断和更高的急诊室访问率. 这些差异凸显了在SSc-ILD护理中解决健康的社会决定因素的必要性.
科学领域:
- 类风湿病学 类风湿病学
- 肺部病理学 肺部病理学
- 健康差异 在健康上的差异
背景情况:
- 系统性硬化症 (SSc) 和其并发症,SSc-间歇性肺病 (SSc-ILD),在表现和结果中表现出已知的种族和民族差异.
- 了解这些差异对于制定有针对性的干预措施和减少健康不平等至关重要.
研究的目的:
- 调查SSc-ILD风险,发病年龄,ILD诊断时间和医疗保健利用 (急诊室访问和住院治疗) 的种族和种族差异.
主要方法:
- 一项回顾性队列研究分析了超过5.5年的756名SSc患者的电子健康记录.
- 使用后勤回归和补充日志模型来评估种族/种族和SSc-ILD结果之间的关联,并根据临床和社会人口统计因素进行调整.
主要成果:
- 与白人患者相比,亚洲患者SSc-ILD的几率增加了 (OR2.59).
- 西班牙裔和黑人/非洲裔美国患者在较年轻时被诊断出SSc-ILD,SSc和ILD诊断之间的间隔较短.
- 黑人/非洲裔美国患者更有可能在SSc诊断之前被诊断为ILD,并且经历了更高的急诊率,西班牙裔患者也是如此.
结论:
- 在SSc-ILD表现和结果中观察到显著的种族和种族差异,包括增加SSc-ILD的几率,诊断年龄较小,以及急诊室访问率较高.
- 虽然一些差异因临床和社会人口统计学因素而减弱,但其他差异仍然存在,这表明未测量的因素的影响,如健康的社会驱动因素和自身抗体概况.
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