与年龄相关的黄斑退行症中的健康的社会决定因素:全国代表性的调查研究
Ryan S Huang1, Nikhil S Patil2, Andrew Mihalache1
1Temetry School of Medicine, University of Toronto, Toronto, Ontario, Canada.
Retina (Philadelphia, Pa.)
|December 9, 2024
概括
诸如年龄和婚姻状况等社会决定因素与与年龄相关的黄斑变性 (AMD) 患病率有关. 公共卫生倡议应该解决这些因素,以获得公平的护理.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 与年龄相关的黄斑变性 (AMD) 是老年人视力丧失的主要原因.
- 健康的社会决定因素 (SDOH) 越来越多地被认为是影响健康结果的关键因素.
- 了解SDOH和AMD患病率之间的相互作用对于有针对性的干预措施至关重要.
研究的目的:
- 调查健康的各种社会决定因素与与年龄相关的黄斑变性 (AMD) 患病率之间的关系.
主要方法:
- 来自2017年国家健康访谈调查的成年受访者 (≥50岁) 的分析.
- 主要结局包括自我报告的AMD诊断和因AMD而导致的视力丧失.
- 使用了单变量和多变量逻辑回归模型.
主要成果:
- 老年 (>81岁) 和离婚,分居或丧偶与更高的AMD几率有关.
- 黑人/非裔美国人,亚洲人和同性恋/女同性恋/双性恋人与白人和异性恋人相比,患AMD的几率分别较低.
- 与失业相比,就业与AMD的几率较低有关.
结论:
- 几种健康的社会决定因素与自我报告的AMD诊断有显著的关联.
- 这些发现强调了政策制定者和临床医生需要在公共卫生战略中考虑SDOH的必要性.
- 解决社会决定因素可以帮助促进更公平的护理,并减少AMD差异.
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