比较种族中立与种族特定的精神测量方程,用于评估儿童喘
Amy L Non1, Xiuhong Li2, Miranda R Jones2
1Department of Anthropology and.
American journal of respiratory and critical care medicine
|December 6, 2024
概括
种族中立的肺功能方程更好地用于诊断儿童喘. 种族特定的方程式可能会隐藏少数民族儿童的肺部功能障碍,这表明种族中立的方法是公平的喘评估的首选.
科学领域:
- 儿科肺病学 儿科肺病学
- 呼吸系统医学 呼吸系统医学
- 健康差异 在健康上的差异
背景情况:
- 基于种族的肺功能估计可以影响少数民族儿童的喘评估.
- 全球肺功能倡议 (GLI) 提供种族中立 (GLI-全球) 和种族特定 (GLI-种族特定) 的参考方程.
研究的目的:
- 为了比较GLI-Global与GLI-Race-Specific方程对儿童喘螺旋计的影响.
- 确定种族特异性方程是否在评估不同儿科人群中的喘方面具有优势.
主要方法:
- 分析了来自27个美国队伍的8719名儿童 (5至12岁以下).
- 使用GLI-Global和GLI-Race-Specific方程进行FEV1,FVC和FEV1/FVCz分数的比较.
- 多变量后勤模型评估了z分数和喘结果之间的关联.
主要成果:
- 对于黑人儿童来说,GLI-Global方程产生了较低的FEV1/FVCz分数,使低FEV1分类增加了14%.
- 肺功能z-score和喘结果之间的关系因种族/种族而异.
- 对于类似的z-score,黑人和西班牙裔儿童的喘诊断和ED访问率更高,但GLI-Global在各组中显示出更一致的结果.
结论:
- 父母报告的种族/种族影响肺功能和喘结果关系.
- 种族特异性方程并不能改善儿童喘评估,并且可能会掩盖弱势儿童的肺部功能障碍.
- 对于公平的儿童喘评估,建议使用种族中立的GLI-Global方程.
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