儿童喘管理的预测因素:通过地理因素确定可操作的结果
Enbal Shacham1,2, Stephen E Scroggins1,2, Adam Gilmore1,2
1Saint Louis University College for Public Health and Social Justice, St. Louis, Missouri (Drs Shacham and Scroggins and Mr Gilmore); and Inland Empire Health Plan Rancho Cucamonga, California (Mss Cheng and Nava).
Journal of public health management and practice : JPHMP
|September 11, 2024
概括
靠近工业场所,主要道路和空气质量差显著增加了儿童喘恶化,特别是在公共住房. 这些因素是优先考虑环境干预和住房整治资源的关键.
科学领域:
- 环境健康 环境健康
- 儿科肺病学 儿科肺病学
- 地理空间流行病学
背景情况:
- 儿童喘是美国年轻人的主要慢性疾病之一.
- 地理因素,包括空气污染物,影响喘的发展和恶化.
- 识别地理空间预测因素对于管理儿科喘至关重要.
研究的目的:
- 为了确定儿科喘恶化事件的地理空间预测因素.
- 根据环境风险因素,优先考虑住房整治资源.
- 了解住宅与污染源的距离与喘严重程度之间的关系.
主要方法:
- 对51557名患有喘的儿科成员 (≤21岁) 的电子病历分析 (2019-2021年).
- 包括诊断,访问频率,家庭地址,空气质量指数,以及靠近道路和制造工厂的情况.
- 空间分析以确定喘恶化的重要地理空间预测因素.
主要成果:
- 在公共住房中,患喘病例较多的个体住在更接近制造工厂 (P < .001) 和主要道路 (P < .001) 的地方.
- 较多的空气质量差日也与喘病例增加有关 (P < .001).
- 这些地理空间因素显著预测了与喘相关的医疗保健接触的增加.
结论:
- 研究结果证实了喘,空气质量差以及靠近工业/交通枢纽之间的联系.
- 公共住房居民面临来自附近道路和制造工厂的复合风险.
- 研究为环境干预,住房检查和社区外展提供信息,以减轻喘负担.
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