儿童传染病的交叉不平等:瑞典的一项全国性队列研究
Samuel Videholm1, Sven Arne Silfverdal2, Per E Gustafsson3
1Department of Clinical Sciences, Pediatrics, Umea Universitet, Umea, Sweden samuel.videholm@umu.se.
Journal of epidemiology and community health
|April 8, 2024
概括
社会贫困的儿童面临更高的感染风险. 社会劣势的交叉不平等在很大程度上影响了儿科传染病住院的情况,需要对所有儿童进行全面的公共卫生干预.
科学领域:
- 儿童传染病 儿童传染病
- 社会流行病学社会流行病学
- 健康上的不平等 卫生上的不平等
背景情况:
- 社会贫困与儿童感染住院病例增加有关.
- 对于各种社会劣势的相互作用的理解有限.
- 这项研究调查了儿童常见感染中的交叉不平等.
研究的目的:
- 为了检查整体,上呼吸道,下呼吸道,肠道和尿生殖道感染的交叉不平等.
- 分析综合社会劣势如何影响幼儿时期感染住院率.
- 评估交叉社会因素在儿科传染病结果中的作用.
主要方法:
- 瑞典儿童 (1998-2015) 基于人口的回顾性队列研究.
- 个人异质性和歧视性准确性框架的分析.
- 根据母亲的教育,收入,性别和移民状况,创建60个交叉层.
- 后勤回归模型用于估计发病率和关联.
主要成果:
- 包括1,785,588名儿童和318,080名住院患者.
- 在低收入家庭中受教育程度低的母亲的男孩中观察到的感染住院发生率最高.
- 收入对受过高等教育的母亲的孩子感染率没有影响.
- 交叉层显示出预测感染的差别区分能力较差.
结论:
- 儿童传染病不平等受到社会不利因素的交叉影响.
- 公共卫生政策必须解决这些交叉不平等问题,以有效地接触所有弱势儿童.
- 需要有针对性的干预措施,以减轻综合社会不利因素对儿童健康的影响.
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