社会脆弱性指数对与酒精有关的肝病患者的影响
Ayushi Jain1, Michael R Wellner2, Jing Peng3
1Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Alcohol (Fayetteville, N.Y.)
|August 29, 2024
概括
社会脆弱性影响了许多患有酒精相关肝病 (ALD) 的患者. 然而,社会脆弱性指数 (SVI) 并没有显著影响接受社会支持服务的ALD患者住院治疗的结果.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 公共卫生 公共卫生
- 健康的社会决定因素
背景情况:
- 与酒精有关的肝病 (ALD) 是影响不同人群的重大健康问题.
- 社会脆弱性指数 (SVI) 量化了增加对健康风险敏感性的社会经济因素.
- 了解社会脆弱性对ALD结果的影响对于有针对性的干预至关重要.
研究的目的:
- 评估社会脆弱性指数 (SVI) 对酒精相关肝病 (ALD) 患者住院结果的影响.
- 评估较高的SVI得分是否与ALD患者获得社会支持服务的较差结果相关.
主要方法:
- 2019年3月至8月期间ALD住院病例的回顾性审查.
- 根据患者住房人口普查地带分配SVI分数.
- 人口统计数据的比较,肝损伤补偿,重症监护需求,再入院率和低和高SVI组之间的死亡率.
主要成果:
- 大多数住院的ALD患者呈现出高SVI.
- 较高的SVI与非洲裔美国人的种族和残疾状况有关.
- 根据SVI水平,没有观察到住院结果 (赔偿,重症监护,再入院,死亡率) 的统计学上显著差异.
结论:
- 虽然大多数住院ALD患者表现出高度的社会脆弱性,但SVI并没有成为该队列中不良住院结果的预测因素.
- 这些发现表明,现有的社会支持服务可能会减轻社会脆弱性对ALD患者结果的负面影响.
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