化,枪支暴力,以及枪击受害者获得护理的差异
Sophia M Smith1, Daniel Counihan1, Allan Stolarski1
1Department of Surgery, Boston Medical Center, Boston, MA, USA; Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
波士顿的 gentrification 与较少的枪击事件,但较长的运输时间与非 gentrifying 地区的医院有关. 这项研究强调了暴力和获得护理的差异.
科学领域:
- 城市研究是城市研究.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 众所周知,化改变了犯罪模式,但其对医疗保健准入的影响尚不清楚.
- 这项研究调查了波士顿的 gentrification,枪击事件和紧急医疗服务响应时间之间的关系.
研究的目的:
- 评估 gentrification 如何影响射击率,运输时间和生存结果.
- 了解暴力的空间再分配及其对获得医疗保健的影响.
主要方法:
- 使用美国人口普查数据 (2010-2020年) 根据收入,住房和教育来确定化.
- 枪击事件和医院位置被映射到人口普查片上.
- 计算了运输时间,并使用统计分析 (Poisson回归,Kruskal-Wallis测试) 来评估射击率,死亡率和旅行时间.
主要成果:
- 在57个符合条件的地区中,11个地区表现出了 gentrification 的迹象.
- 气质化地区的枪击率较低 (β-0.69),但死亡人数没有显著差异.
- 运输时间在非 gentrifying 片段 (中位数 11.71) 与 gentrifying 片段 (中位数 7.10) 相比显著更长.
结论:
- 非 gentrifying 社区面临更高的枪击率和延长运输时间到医疗设施.
- 了解这些再分配模式对于有效的创伤系统规划和解决健康不平等至关重要.
更多相关视频
09:12The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress
Published on: July 4, 2013
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
相关概念视频
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Bystander Effect
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Introduction To Health Care Delivery System
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Stereotypes, Prejudice, and Discrimination
Standards of Care I
