儿童喘中的社会不平等
Angela Pinot de Moira1, Adnan Custovic1
1National Heart and Lung Institute, Imperial College London, London, United Kingdom.
The World Allergy Organization journal
|December 19, 2024
概括
处于不利社会经济环境 (SECs) 的儿童面临更高的儿童喘诊断风险和更差的喘结果. 需要进行研究,以了解途径,并减少这些健康不平等.
科学领域:
- 儿科过敏和免疫学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 喘是一种常见的儿童慢性疾病,带来了相当大的医疗费用.
- 不利的社会经济环境 (SECs) 与儿童喘的不成比例负担有关.
- 了解喘中的社会不平等对于有效的公共卫生干预至关重要.
研究的目的:
- 审查处于不利地位的SEC与儿童喘风险和结果之间的关联.
- 探索喘亚型之间的地理变异和差异.
- 讨论将SEC与儿童喘及其结果联系起来的调解途径.
主要方法:
- 对现有关于社会经济地位和儿童喘的文献进行系统审查.
- 对喘患病率和结果的地理差异分析.
- 讨论潜在的生物,环境和社会介导因素.
主要成果:
- 在高收入国家 (HICs) 中,处于不利地位的SEC和儿童喘患病率增加之间存在一致的关联.
- 与处于不利地位的 SEC 相关的喘表型较少的形,更有可能从婴儿期开始.
- 处于不利地位的SEC与更糟糕的喘结果相关,低收入和中等收入国家 (LMICs) 的差异明显.
结论:
- 社会不平等显著影响儿童喘风险和结果.
- 将处于不利地位的SEC与喘联系在一起的途径是复杂的,需要进一步调查.
- 需要有针对性的干预措施来减少整个生命过程中与喘相关的健康差异.
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