美国慢性病患病率:根据邮政编码表格区域的社会人口统计和地理变化
Gabriel A Benavidez1, Whitney E Zahnd2, Peiyin Hung3
1Baylor University, Department of Public Health, Waco, TX 76798 (Gabriel_benavidez@baylor.edu).
Preventing chronic disease
|March 1, 2024
概括
慢性疾病在美国东南部最为普遍,不成比例地影响着社会经济劣势和有限的医疗保健机会的社区. 有针对性的干预措施对于改善公共卫生结果至关重要.
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:
- 了解慢性疾病的地理分布对于公共卫生至关重要.
- 社会经济和人口因素影响疾病流行率和社区健康.
研究的目的:
- 检查美国慢性病患病率的地理分布.
- 识别与高慢性疾病患病率相关的社会人口和经济特征.
主要方法:
- 利用美国社区调查,美国医院协会调查和CDC PLACES的数据.
- 通过使用10种慢性疾病的四分位数值,评估了邮政编码表格区域 (ZCTAs) 的慢性疾病流行率.
- 进行了空间分析,以确定患病率高的 ZCTA 集群,并比较了社区特征.
主要成果:
- 在美国东南部发现了慢性病的高患病率.
- 患病率最高的 ZCTA 呈现出更大的社会经济劣势 (收入较低,房屋价值较低,教育程度较低,无保险率较高).
- 患病率高的地区的人口在获得医疗保健方面面临更大的障碍 (拥有较少的汽车,前往医疗设施的时间较长).
结论:
- 必须解决社会经济差异和医疗保健接入障碍在慢性疾病流行率高的社区.
- 需要有针对性的资源分配和干预措施来减轻慢性疾病的影响.
- 政策制定者和临床医生应优先考虑减少慢性疾病流行率和提高社区福祉的努力.
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