在农村阿巴拉契亚州,与患有不受控制的喘相关的因素
J Brady Scott1, Steven R Browning2, Nancy E Schoenberg3
1Department of Cardiopulmonary Sciences, Division of Respiratory Care, College of Health Sciences, Rush University, Chicago, IL, USA.
概括
在肯塔基州的农村地区,控制喘是一个挑战. 抑郁症和多个单位的住房与不受控制的喘有关,而身体活动和体重并不是重要的因素. 解决这些社会决定因素是改善喘管理的关键.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 环境健康 环境健康
背景情况:
- 慢性呼吸道疾病,特别是喘,对阿巴拉契亚地区产生不成比例的影响,其中中央阿巴拉契亚地区面临重大负担.
- 控制喘是肯塔基州农村地区的一个主要问题,影响生活质量和医疗保健成本.
- 了解影响喘控制的因素对于制定有效的缓解策略至关重要.
研究的目的:
- 为了确定与中央阿巴拉契亚居民不受控制的喘相关的特征.
- 调查各种因素,包括心理健康和住房在喘控制中的作用.
- 为改善肯塔基州农村的喘管理提供有针对性的干预信息.
主要方法:
- 一个基于社区的,横截面的流行病学研究,利用调查数据.
- 定义非控制性喘为自报的过去一年≥2次恶化;控制性喘为≤1次恶化.
- 采用奇平方/费舍尔精确测试和逻辑回归来分析变量与喘控制之间的关联.
主要成果:
- 在211名喘患者中,有29%的人患有无法控制的喘.
- 抑郁症 (OR 2.61) 和多个单位的住房 (OR 4.99) 是无法控制喘的重要预测因素.
- 没有发现超重/肥胖,体力活动和BMI是无法控制喘的预测因素.
结论:
- 肯塔基州的农村阿巴拉契亚社区在喘管理方面面临重大挑战.
- 抑郁和住房条件是影响喘控制的关键因素.
- 干预措施应解决健康的社会决定因素,包括心理健康和生活环境,以改善喘结果.
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