美国的贫困陷和肝病死亡率
Matthew Ledenko1, Tushar Patel
1Division of Gastroenterology and Hepatology, Department of Transplantation, Mayo Clinic, Jacksonville, Florida, USA.
The American journal of gastroenterology
|June 25, 2024
概括
贫困陷显著增加肝病和癌症死亡率. 解决经济和社会因素的特定地点干预措施对于减少这些持续贫困地区的死亡人数至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康的社会经济决定因素
- 地理流行病学地理流行病学
背景情况:
- 贫困陷,由多代贫困定义,源于影响居民健康的结构和经济因素.
- 这些因素不成比例地影响健康结果,特别是肝脏疾病和癌症.
研究的目的:
- 在连续的美国,以空间定义贫困陷.
- 调查贫困陷对肝病和癌症死亡率结果的影响.
主要方法:
- 系统的人口普查 - - 分析以确定贫困陷地区.
- 确定贫困患病率和从慢性肝病或肝癌中死亡率的集群.
- 分析特定热点内的时间趋势和与种族,种族和医疗保健接入有关的差异.
主要成果:
- 在人口普查区的多代贫困与肝病/癌症死亡率之间存在强烈的关联.
- 观察到持续的贫困和高死亡率的显著聚类.
- 高死亡率热点与收入,种族和医疗保健准入相关,突出了差异.
结论:
- 贫困陷是肝病和癌症死亡率的重要,空间决定的风险因素.
- 具体地点干预和经济发展对于缓解这些差异和降低死亡率至关重要.
- 解决贫困的根本原因是改善受影响地区健康状况的关键.
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