英国种族与多发性硬化症特征之间的关系:英国多发性硬化症注册研究的英国MS注册研究
Benjamin M Jacobs1, Luisa Schalk2, Emily Tregaskis-Daniels2
1Centre for Preventive Neurology, Wolfson Institute of Population Health, Queen Mary University of London, London, UK Department of Neurology, Royal London Hospital, London, UK.
概括
这项研究在英国一大群人中没有发现种族和多发性硬化症 (MS) 严重程度之间的联系. 其他因素,如社会经济地位,可能会解释MS中先前的种族差异.
科学领域:
- 神经学 神经学
- 流行病学 流行病学
- 临床研究 临床研究
背景情况:
- 以前的研究表明,多发性硬化症 (MS) 严重程度在不同种族之间存在差异.
- 了解这些潜在的差异对于公平的医疗保健服务至关重要.
研究的目的:
- 调查自我报告的种族背景与多发性硬化症 (MS) 严重程度之间的关联.
- 检查种族是否影响发病时的年龄,症状表现以及疾病影响或进展.
主要方法:
- 利用了来自英国多发性硬化病登记册的数据,这是一项前性的纵向队列研究.
- 使用多变量线性回归和考克斯比例危险模型来分析关联.
- 包括17314名多发性硬化症患者,对黑人和南亚族群进行了具体分析.
主要成果:
- 与白人相比,南亚人和黑人种族的人在MS发病和诊断时的中位数年龄较低.
- 根据横截面和纵向分析,在MS中种族背景和身体残疾之间没有发现具有统计意义的关联.
结论:
- 这项大型,多元化的英国队列研究发现,种族背景和多发性硬化症 (MS) 严重程度之间没有关联.
- 社会经济地位和结构不平等可能是解释以前观察到的MS种族差异的更重要的因素.
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