健康和青年的社会决定因素 慢性疼痛
Yanxia Chen1, Zhongting Liu2, André O Werneck3
1Department of Physical Education, Shanghai Jiao Tong University, Shanghai, China.
Complementary therapies in clinical practice
|October 5, 2024
概括
健康的社会决定因素 (SDOH) 与美国年轻人的慢性疼痛有关. 诸如粮食不安全,家长失业和学校安全不佳等因素增加了疼痛风险,突出了健康公平的需要.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 社会学 社会学 社会学
背景情况:
- 慢性疼痛影响了相当一部分美国年轻人,影响了他们的生活质量和发展.
- 健康的社会决定因素 (SDOH) 越来越被认为是影响整个生命周期健康结果的关键因素.
- 了解儿童群体中SDOH和慢性疼痛之间的相互作用对于有针对性的干预措施至关重要.
研究的目的:
- 调查各种健康社会决定因素 (SDOH) 与美国年轻人的全国样本中慢性疼痛的患病率之间的联系.
- 确定与儿童和青少年慢性疼痛存在有显著关系的特定SDOH指标.
主要方法:
- 利用了2022年全国儿童健康调查的数据,包括美国年轻人的全国代表样本.
- 评估了五个领域的20个SDOH指标:经济稳定,社会/社区背景,社区/建筑环境,医疗保健获取/质量和教育获取/质量.
- 采用多变量逻辑回归来分析SDOH指标与青少年慢性疼痛之间的关联,调整为共变量.
主要成果:
- 这项研究分析了30287名美国年轻人 (年龄在6-17岁) 的数据,其中7.5%的人经历了慢性疼痛.
- 一些SDOH指标与慢性疼痛的更高几率有显著的关联,包括食物不足,父母失业,学校参与/安全低,医疗保健获得有限,经常去医院,使用替代医疗保健,欺凌,不良童年经历和不利的设施.
- 对于每一个显著的关联,报告了特定的几率比率 (OR) 和置信区间 (CI),显示了不同程度的风险.
结论:
- 健康指标的多个社会决定因素与美国年轻人患慢性疼痛的可能性增加有关.
- 这些发现强调了社会经济因素,环境条件和儿科慢性疼痛之间的复杂关系.
- 解决健康公平问题的综合方法对于预防和减轻年轻人群中的慢性疼痛至关重要.
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