了解儿科喉病:对社会决定因素和相关疾病的研究
Dean G Kennedy1, Amos M Mwaura1, Nicholas R Wilson1
1Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA.
The Journal of laryngology and otology
|November 4, 2024
概括
社会经济因素显著影响儿科喉病的入院率. 低收入和某些种族群体的发病率增加,而高收入和其他群体的发病率下降.
科学领域:
- 儿科健康 儿科健康
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 喉病是一种常见的先天性疾病,影响婴儿.
- 了解社会经济决定因素对于公共卫生倡议至关重要.
研究的目的:
- 调查社会经济因素对儿科喉病住院病人的影响.
- 分析收入,种族,保险和伴随疾病与喉病发病率之间的关联.
主要方法:
- 分析2016年医疗保健成本和利用项目儿童住院患者数据库.
- 包括变量,如邮政编码中位数收入,种族/种族,和主要付款人.
- 使用疾病和相关健康问题的国际统计分类第10版 (ICD-10) 代码.
主要成果:
- 收入中位数较低的邮政编码与喉病入院人数增加6.4%相关.
- 黑人患者增加了24.5%,而亚洲/太平洋岛屿患者减少了42.5%.
- 医疗补助支付人数增加了22.1%,与医疗保险,私人保险和自支付人数显著下降形成鲜明对比.
结论:
- 社会经济地位,种族和保险类型是儿童喉病入院的重要因素.
- 伴随性疾病过程也在喉的发病率中发挥着统计学上显著的作用.
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