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需要住院治疗的严重病例的空间集群:对有针对性的预防策略的影响
Shanley Chong1, Helen M Achat1, Joanne M Stubbs1
1Epidemiology and Health Analytics, Western Sydney Local Health District, North Parramatta, New South Wales, Australia.
在悉尼,家庭摔倒伤害显示出一致的地理热点,特别是在老年和处境不利的人口地区. 这些高风险地区需要有针对性的干预措施,因为与大流行有关的在家工作趋势并没有显著改变跌倒模式.
科学领域:
- 公共卫生 公共卫生
- 老年学是一门学科.
- 伤害预防 预防伤害
背景情况:
- 跌倒是家庭伤害的主要原因.
- 在大流行期间在家里度过的时间增加,需要了解摔倒伤害模式.
- 识别摔伤的空间集群对于有针对性的预防至关重要.
研究的目的:
- 识别和描述悉尼的摔倒伤害的空间集群.
- 分析在家工作起之前和期间的摔倒伤害模式.
- 确定与摔倒伤害集群相关的个人和社区因素.
主要方法:
- 在澳大利亚新南威尔士州,分析了2018-2021年期间8115起与跌倒有关的住院病例.
- 利用SaTScan软件检测统计学上显著的空间集群.
- 每年使用后勤回归来检查与个人和社区因素的关联.
主要成果:
- 在悉尼的特定地区观察到持续的地理热点下跌伤害住院.
- 这些集群与老年人口统计和社会经济弱势社区密切相关.
- 跌倒伤害的发生率保持一致,由于在家工作的普及率增加,其影响很小.
结论:
- 家庭伤的空间集群是持久的,无论在家工作的趋势.
- 干预策略应考虑老年和社会经济劣势,以提高有效性.
- 在高风险地区,地理目标的防摔计划是必不可少的.
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