人际暴力和健康的社会决定因素
Robyn G Sawyers1, Nichole Tackett1, Allie A McMandon1
1VCOM-Carolinas, Spartanburg, SC, USA.
The American surgeon
|March 27, 2024
概括
健康的社会决定因素 (SDOH) 影响创伤结果. 虽然在本研究中没有统计学意义,但将患者地址与区域贫困指数 (ADI) 映射出来,确定了需要资源的高风险社区.
科学领域:
- 公共卫生 公共卫生
- 创伤外科 手术 创伤外科
- 健康差异 在健康上的差异
背景情况:
- 健康的社会决定因素 (SDOH) 显著影响医疗保健中的患者结果和风险评估.
- 人际暴力和创伤结果是复杂的问题,受到社会经济因素的影响.
- 了解弱势群体中SDOH和创伤之间的联系对于有针对性的干预至关重要.
研究的目的:
- 研究在经历了人际暴力的患者中,健康的社会决定因素 (SDOH) 和创伤结果之间的关联.
- 通过家庭地址和区域贫困指数 (ADI) 来识别高风险社区.
- 评估SDOH文档在手术创伤患者风险分层中的有用性.
主要方法:
- 收集了因人际暴力而入院进行手术创伤的患者的人口统计,SDOH和结果数据.
- 分析了与区域贫困指数 (ADI) 相比的患者住址,以绘制社会经济需要的区域.
- 统计分析以确定SDOH和创伤结果之间的关联 (ICU停留时间,压力问题).
主要成果:
- 对SDOH的有限文档 (18.8%) 导致样本规模很小,影响了统计能力.
- 在SDOH和关键创伤结果之间没有发现统计学意义上的关联 (P > .05).
- 地理空间分析显示,贫困的"热点"与流域内较高的ADI得分相关.
结论:
- 尽管缺乏统计学意义,但SDOH数据对创伤护理中的患者风险评估具有潜在价值.
- 使用家庭地址和ADI的地理映射有效地识别了需要有针对性的资源分配的社区.
- 强调需要改善SDOH的文档,以加强风险分层和社区层面的干预.
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