社会经济地位与开放地球伤害之间的关联
Marlow Schulz1, Alyssa C Bonnell1, Yewlin E Chee1
1Department of Ophthalmology, University of Washington, Seattle, WA, USA.
Eye (London, England)
|December 10, 2024
概括
较低的社会经济地位 (SES) 与开放地球伤害 (OGI) 的风险增加有关,特别是与枪支相关的眼睛伤害和非意外创伤. 这些发现强调了SES作为OGI的重要风险因素.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 创伤外科 手术 创伤外科
背景情况:
- 社会经济地位 (SES) 影响健康结果,但其与开放地球损伤 (OGI) 特征的关联需要进一步调查.
- 社会脆弱性指数 (SVI) 和困境社区指数 (DCI) 为评估社区级SES提供了有价值的指标.
- 了解这些关联可以为有针对性的伤害预防策略提供信息.
研究的目的:
- 调查通过SVI和DCI测量的SES与开放球损伤 (OGI) 的特征之间的关系.
- 确定与较低的SES相关的特定OGI机制.
主要方法:
- 在一级创伤中心接受OGI治疗的899名患者的回顾性审查 (2009年5月至2021年3月).
- 根据患者邮政编码,使用SVI和DCI进行了SES评估.
- 根据受伤机制对患者进行分类 (意外与非意外,包括与枪支相关的眼睛损伤和家庭暴力/袭击).
主要成果:
- 年轻的年龄与较高的DCI和较低的眼睛创伤评分 (OTS) 相关联.
- 与意外创伤相比,非意外创伤患者的OTS得分较低,SVI/DCI得分较高.
- 与枪支相关的眼部伤害 (FAOI) 和家庭暴力/袭击与较高的SVI/DCI和更糟糕的OTS有关,而跌倒和体育伤害与较低的DCI相关.
结论:
- 较低的SES,由SVI和DCI表示,与年轻的年龄,FAOI和非偶然的OGI有关,包括家庭暴力/袭击.
- 对于各种OGI机制来说,SES可能是一个重要的风险因素.
- 这些发现强调了OGI预防和管理中需要考虑SES的必要性.
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