肯塔基州的阿巴拉契亚和非阿巴拉契亚地区之间的死亡率差异
Sonali S Salunkhe1, Sahal Alzahrani2, Beatrice Ugiliweneza
1Idaho State University.
Journal of Appalachian health
|May 24, 2024
概括
肯塔基州的阿巴拉契亚非大都市县的全因死亡率更高. 针对性干预对于这些地区来说至关重要,以应对阿片类药物危机并减少与毒品有关的死亡.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 农村卫生 农村卫生
背景情况:
- 美国阿片类药物流行不成比例地影响某些地区,包括农村和阿巴拉契亚山区.
- 肯塔基州具有不同的地理和人口状况,其区域阿片类药物危机的影响没有被记录下来.
- 了解区域差异对于有效的过量预防策略至关重要.
研究的目的:
- 为了比较肯塔基州不同地区的全因,药物相关和阿片类药物相关死亡率.
- 这项研究考察了阿巴拉契斯山脉与非阿巴拉契斯山脉以及大都会与非大都会县的对比.
- 这项分析旨在确定具有较高死亡负担的特定地区.
主要方法:
- 使用了CDC WONDER (2000-2019) 的年龄调整后死亡率数据.
- 来自美国人口普查局 (2010) 的综合县级人口和社会经济数据.
- 采用负二项式回归模型与日志链接进行统计分析.
主要成果:
- 亚巴拉契亚非大都市肯塔基州的县份的全因死亡率 (1,076/100,000) 比其他地区高得多.
- 非阿巴拉契亚地区的非大都市地区的死亡率高于大都市地区的死亡率 (p = .0006).
- 阿巴拉契亚地区的死亡率是非阿巴拉契亚地区的两倍 (p < .05).
结论:
- 调查结果突出显示,亚巴拉契亚非大都市肯塔基州的死亡率较高,需要针对性的公共卫生干预措施.
- 关于地理,人口和社会经济因素的数据可以为高风险人群提供量身定制的战略.
- 解决地区差异是缓解肯塔基州阿片类药物危机影响的关键.
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