社会贫困与对心房动进行导管切除的获取之间的关系:一项人口水平研究
Andriy Katyukha1,2,3, Feng Qiu4, Denis Qeska1,3
1Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
JACC. Advances
|December 4, 2024
概括
社会剥夺影响心房动 (AF) 护理. 贫困地区的患者有更多的AF诊断,但对导管切除的机会较少,这表明治疗不平等.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
背景情况:
- 对心房动 (AF) 进行导管切除的准入可能受到社会经济因素的影响.
- 社会贫困对及时和公平的AF治疗构成了潜在的障碍.
研究的目的:
- 调查社会贫困指标与AF诊断,切除转诊和手术率之间的相关性.
- 描述社会经济因素与获得 AF 减肥的关系.
主要方法:
- 在加拿大安大略省49个人口普查部门对AF诊断,切除转诊和程序的分析 (2016年4月 - 2020年3月).
- 利用安大略省边缘化指数来评估物质剥夺,依赖,种族集中和住宅不稳定的影响.
- 使用率比率 (RR) 进行统计分析,以确定剥夺和AF护理结果之间的关联.
主要成果:
- 在AF诊断,切除转诊和手术之间观察到较弱的一致性 (相关系数为0.33-0.36).
- 增加的物质剥夺和居住不稳定与更高的AF诊断率有关,但转诊和手术率显著降低.
- 较高的种族度与AF诊断,转诊和手术率的降低相关.
结论:
- 尽管有全民医疗保健,但在AF护理获得方面存在显著的社会梯度.
- 物质剥夺和居住不稳定与获得AF导管切除的差异有关.
- 调查结果强调了需要采取干预措施,以确保社会经济层面的公平AF待遇.
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