在16年的时间里,无家可归的经验丰富的成年人中,与肝脏相关的死亡率
Logan Adams1, Kirsten Dickins2, Elizabeth Lewis3
1McLeod Centers for Wellbeing.
Research square
|December 9, 2024
概括
无家可归的成年人面临更高的肝脏死亡率. 虽然发病率下降,但与普通人群相比,它们仍然很高,主要是肝硬化,肝癌,与酒精有关的肝病和病毒性肝炎.
科学领域:
- 公共卫生 公共卫生
- 肝病学 肝病学是一种肝病学.
- 流行病学 流行病学
背景情况:
- 与普通人口相比,无家可归的经验丰富的成年人表现出不成比例的高肝脏相关死亡率.
- 了解这个脆弱群体中肝脏死亡的时间趋势和具体原因对于有针对性的干预至关重要.
研究的目的:
- 分析无家可归的成年人肝脏相关死亡率的趋势.
- 确定肝脏相关死亡的主要原因,并将死亡率与普通人口进行比较.
主要方法:
- 从波士顿医疗保健提供无家可归计划 (2003-2017) 的60,092名成年人群与马萨诸塞州的死亡记录 (2003-2018) 进行了联系.
- 评估了年龄标准化的肝脏相关死亡率趋势和特定原因死亡率,计算了标准化死亡率比率 (SRR).
主要成果:
- 与肝脏相关的死亡率每年下降3.5%,但仍然明显高于一般人口.
- 主要原因包括肝硬化 (SRR 3.2),肝癌 (SRR 2.4),与酒精有关的肝病 (SRR 4.4) 和病毒性肝炎 (SRR 7.2).
- 酒精使用障碍和病毒性肝炎是导致过度肝脏死亡率的重要因素.
结论:
- 与肝脏相关的死亡严重导致无家可归的成年人过度死亡率.
- 针对酒精使用障碍和病毒性肝炎的干预措施对于减少该人口中肝脏死亡率差异至关重要.
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