听力损失和歧视:我们所有人研究计划的交叉性的证据
Michael W Denham1, Lauren H Tucker1, Justin S Golub1
1Department of Otolaryngology-Head and Neck Surgery, NewYork-Presbyterian/Columbia University Irving Medical Center, Columbia University Vagelos College of Physicians and Surgeons, 180 Fort Washington Avenue, HP8, New York, New York, 10032, U.S.A.
The Laryngoscope
|January 27, 2025
概括
听力损失 (HL) 是歧视的一个风险因素. 结合黑人种族和HL显示出独立的歧视风险,突出了交叉性.
科学领域:
- 健康的社会决定因素
- 流行病学 流行病学
- 在健康方面存在差异.
背景情况:
- 听力损失 (HL) 显著影响社会功能.
- 了解HL,种族和歧视的交叉关系对于公共卫生至关重要.
- 我们所有人研究队列为研究这些关系提供了大量,多样化的数据集.
研究的目的:
- 调查听力损失和自我报告的歧视之间的关系.
- 检查种族如何与听力损失结合,影响歧视风险.
- 分析来自全国"我们所有人"队列的数据,以评估这些协会.
主要方法:
- 对"我们所有人"数据集的分析,包括完成"日常歧视调查"的个人.
- 使用ICD-10代码和人口统计数据定义听力损失和混因素.
- 多变量线性回归调整为年龄,性别,种族,种族和医疗条件.
主要成果:
- 有听力损失的人比没有听力损失的人更频繁地报告歧视.
- 与HL相关的歧视风险的影响大小从-0.05到-0.16.
- 黑人种族和听力损失的结合表明,在9个调查区域中的4个地区,存在独立的歧视风险.
结论:
- 听力损失是遭受歧视的重要风险因素.
- 要了解种族和听力损失对歧视的综合影响,需要采用交叉方法.
- 调查结果强调,需要有针对性的干预措施,以解决听力损失患者的歧视问题,特别是在少数种族群体中.
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