儿童肺功能与他们的社会经济状况之间的关联:系统性审查
1Department of Pediatrics, College of Medicine, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, 13317, Saudi Arabia.
International journal of general medicine
|May 23, 2024
概括
具有较低社会经济地位 (SES) 的儿童肺功能较差. 解决这些差异对于改善儿童呼吸系统健康的公共卫生战略至关重要.
科学领域:
- 儿科肺病学 儿科肺病学
- 公共卫生 公共卫生
- 健康的社会经济决定因素
背景情况:
- 社会经济地位 (SES) 越来越被认为是影响儿童健康结果的重要因素.
- 肺功能是儿童呼吸系统健康的关键指标,具有潜在的长期影响.
研究的目的:
- 系统地审查和评估18岁以下儿童的社会经济条件和肺功能之间的关联.
- 综合关于SES如何影响儿科患者呼吸系统健康的证据.
主要方法:
- 按照PRISMA指南进行了系统审查,搜索了2013年至2023年间发表的研究.
- 从20篇选定的论文中提取数据,包括89,619名参与者,并使用纽卡斯尔-太华偏差风险工具进行分析.
- 使用后勤回归模型来评估社会经济地位指数与肺功能之间的关系,特别是第一秒强制呼气量 (FEV1).
主要成果:
- 在儿童中,较低的社会经济地位和肺功能下降之间发现了积极的关联.
- 分析表明,在SES较低的儿童中,下呼吸功能的四分位数间几率比 (OR) 为1.67 (95% CI1.03-1.34) .
- 这项研究包括了来自20篇论文的89,619名参与者的数据.
结论:
- 来自较低社会经济背景的儿童的肺功能明显下降.
- 这些发现强调了有针对性的公共卫生干预措施的必要性,以减轻社会经济因素对儿童呼吸系统健康的影响.
- 解决与SES相关的健康差异的根本原因对于制定有效的预防策略至关重要.
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