在救护车中生活的儿童人口的社会脆弱性 荒漠的沙漠
Yvonne Jonk1, Heidi O'Connor2, Tyler DeAngelis3
1Department of Public Health, Muskie School of Public Service, University of Southern Maine, 222 Wishcamper Center, 34 Bedford Street, PO Box 9300, Portland, ME 04104, USA; Maine Rural Health Research Center, University of Southern Maine, Portland, ME, USA.
Pediatric clinics of North America
|November 27, 2024
概括
大约20%的儿童生活在救护车沙漠 (ADs) 中,这些地区的紧急医疗服务延迟. 这些儿童通常居住在农村地区,面临更大的社会脆弱性,突出了关键的获取差距.
科学领域:
- 公共卫生 公共卫生
- 紧急医疗服务 紧急医疗服务
- 儿科健康差异 儿科健康差异
背景情况:
- 救护车沙漠 (ADs) 被定义为美国人口密的地区,在25分钟内缺乏救护车接入.
- 限定的救护车接入不成比例地影响弱势群体,包括儿童.
- 了解儿童暴露于ADS的范围对于公共卫生规划至关重要.
研究的目的:
- 量化生活在美国救护车沙漠中的儿童比例.
- 描述住在儿科ADS的儿童的人口和社会经济因素.
- 为了分析儿科阿尔茨海默病患者群体的州级变化.
主要方法:
- 根据25分钟的响应时间值,定义了救护车沙漠 (ADs).
- 计算了在ADs.居住的儿科人口 (≤18岁) 的百分比.
- 对比ADS与非ADS儿童的人口和社会脆弱性特征.
主要成果:
- 在美国的救护车沙漠中,大约有20%的450万人是儿童.
- 患有AD的儿童人口在农村地区更为普遍,并且表现出更高的社会脆弱性.
- 在ADS儿童的种族/民族多样性,贫困和无保险率方面存在显著的州级差异.
结论:
- 由于救护车被遗弃,大量儿童面临着延迟的紧急医疗服务.
- 在ADS中的儿童不成比例地来自农村和社会脆弱的背景.
- 解决儿童救护车沙漠差距需要针对性干预,考虑到社会经济和地理因素.
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