美国儿童喘住院病例的趋势,按种族和种族,2012-2020年
Sophie Binney1,2, W Dana Flanders3, Kanta Sircar4,5
1Oak Ridge Institute for Science and Education, Oak Ridge, Tennessee.
Preventing chronic disease
|September 19, 2024
概括
在所有种族群体中,儿童喘住院病例正在下降,但差异仍然存在. 非西班牙裔黑人儿童的喘负担仍然最高,这表明需要有针对性的干预措施.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 种族和少数民族社区不成比例地经历更高的喘负担.
- 以前的研究表明,儿童喘差异稳定或增加.
- 更新的数据分析对于了解儿科喘差异的当前趋势至关重要.
研究的目的:
- 分析了儿童喘住院治疗的最新趋势,以及种族和种族的差异.
- 从2012年到2020年,评估不同种族和种族群体中喘住院率的变化.
- 为了确定儿童喘现有的种族和民族差异是否随着时间的推移而改变.
主要方法:
- 利用了2012-2020年国家住院患者样本数据,用于儿科喘住院治疗.
- 使用美国人口普查局数据计算住院率并进行元回归分析.
- 通过对变更前后期间进行单独分析,考虑了2015年的诊断编码变化,不包括回归的2020年数据.
主要成果:
- 在研究期间,儿童喘住院病例总体下降.
- 非西班牙裔黑人儿童的喘住院患病率最高 (9.8-36.7每10,000名儿童).
- 喘住院病例的下降率在所有种族和族群中都是相似的,这表明存在持续的差异.
结论:
- 非西班牙裔黑人儿童继续面临与喘有关的住院治疗的不成比例负担.
- 虽然喘住院患病率在全球范围内正在下降,但不同群体的相似下降率表明差异仍然存在.
- 针对性干预,解决不成比例地受影响群体的具体需求,对于减少儿科喘差异至关重要.
相关概念视频
01:29Asthma-I: Introduction
2.6K
Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
2.6K
01:26Asthma-II: Pathophysiology and Classification
2.6K
Asthma is a prevalent chronic respiratory condition marked by inflammation and hyperresponsiveness of the airways. Its pathophysiology involves complex interactions among inflammatory pathways, immune responses, and neural mechanisms.
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
2.6K
01:30Asthma-IV: Diagnostic and Management
2.5K
The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
2.5K
01:20Asthma: Pathogenesis and Management
364
Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
364
01:24Asthma-III: Symptoms and Complications
2.5K
Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Classification of Asthma
2.5K
01:25Antiasthma Drugs: Inhaled Corticosteroids and Glucocorticoids
227
Inhaled corticosteroids (ICS) are anti-inflammatory drugs used primarily in treating persistent asthma and providing long-term maintenance. They target the bronchial mucosa, the lining of the airways, to control inflammation, a critical factor in asthma progression and exacerbation.
ICS work through a multifaceted mechanism of action. They suppress the inflammatory response caused by the proliferation of TH cells. They also reduce the transcription of the IL-2 gene, which is involved in the...
ICS work through a multifaceted mechanism of action. They suppress the inflammatory response caused by the proliferation of TH cells. They also reduce the transcription of the IL-2 gene, which is involved in the...
227