邻里社会经济背景预测儿童喘恶化
Ashley W Kranjac1,2,3, Zeev N Kain2,4,5, Louis Ehwerhemuepha6
1Department of Sociology, Chapman University, Orange, CA, USA.
Clinical pediatrics
|July 24, 2024
概括
空气污染和家庭组成等邻居因素显著影响儿童喘恶化,超出了个体患者的特征. 解决这些社区层面的问题对于公平控制喘至关重要.
科学领域:
- 环境健康 环境健康
- 儿科肺病学 儿科肺病学
- 社会流行病学 社会流行病学
背景情况:
- 儿童喘恶化是一个重大的公共卫生问题.
- 影响喘控制的个人层面因素已得到充分证实.
- 儿童喘恶化的社区级决定因素仍未得到充分研究.
研究的目的:
- 确定与儿科患者失控喘相关的特定住房特征.
- 确定哪些社区因素导致儿童喘控制的差异.
主要方法:
- 利用了南加州儿科患者的电子医疗记录数据.
- 采用多层次建模来分析邻里特征与喘恶化之间的关联.
- 对已知的预测喘控制的个人水平因素进行控制.
主要成果:
- 非西班牙裔黑人居民度较高的社区与喘恶化的几率增加有关 (OR = 1.02).
- 女性主管家庭的比例较高与喘恶化的可能性更高相关 (OR = 1.01).
- 高水平的环境空气污染显著增加了喘恶化的几率 (OR = 1.05).
结论:
- 不同的社区特征,包括种族/民族组成,家庭结构和空气污染,与儿科喘恶化有关.
- 这些发现强调了需要基于地方的倡议来解决儿童喘管理中的不平等问题.
- 社区层面的干预对于减少儿童喘控制方面的差异至关重要.
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