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社会经济地位和殖民或感染优先细菌病原体的风险:全球证据地图
Sarah Blackmon1, Esther Avendano2, Nanguneri Nirmala3
1Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA.
概括
低社会经济地位 (SES) 会增加细菌感染的风险. 这一系统性审查发现,低收入和卫生条件差等因素与更高的感染率有关,特别是在低收入和中等收入国家 (LMICs).
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 社会流行病学 社会流行病学
背景情况:
- 社会经济地位 (SES) 被假设影响对细菌感染的易感性.
- 全球证据将SES与细菌殖民和感染风险联系起来需要综合.
研究的目的:
- 系统地审查和综合全球关于社会经济地位与细菌殖民或社区感染优先病原体风险之间的关系的证据.
主要方法:
- 来自14个国家的50项研究的系统文献综述.
- 研究报告了各种SES指标的结果,包括教育,收入,医疗保健准入,住宅拥挤,贫困,城市化和卫生条件.
- 分析的重点是SES指标与病原体殖民或感染的风险之间的关联.
主要成果:
- 低教育程度,低收入,有限的医疗保健准入,住宅拥挤和高的SES剥夺通常与细菌殖民或感染的风险增加有关.
- 对低收入和中等收入国家 (LMICs) 的研究有限.
- 关于城市化对城市的影响,观察到相互矛盾的结果.
结论:
- 有证据表明,较低的SES与更高的细菌感染风险之间存在普遍联系.
- 对LMICs存在显著的数据差距,强调需要更多的研究.
- 未来的研究应该优先报告SES分层数据,以阐明SES与健康的相互作用,特别是在LMICs.
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