机器学习评估社会决定因素与纽约市糖尿病患病率之间的关系
Darren Tanner1, Yongkang Zhang2, Ji Eun Chang3
1AI for Good Research Lab, Microsoft Corp, Redmond, Washington, USA.
BMJ public health
|February 28, 2025
概括
健康的社会决定因素 (SDOH) 在纽约市社区显著影响糖尿病患病率. 解决社会经济和教育不平等问题的政策显示出减少差距的最大潜力.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 糖尿病是心血管疾病和死亡的主要原因.
- 健康的社会决定因素 (SDOH) 与糖尿病风险的差异有关.
- 了解社区级SDOH影响对于有针对性的干预至关重要.
研究的目的:
- 量化SDOH对纽约市 (NYC) 人口普查通道水平上糖尿病患病率的累积影响.
- 为了确定与社区糖尿病患病率最相关的特定SDOH.
- 通过机器学习 (ML) 为公共卫生战略提供信息.
主要方法:
- 使用梯度增强ML模型进行横截面研究.
- 采用沙普利添加剂解释来评估SDOH与糖尿病的关系.
- 包括社会经济地位,教育,食品获取,空气质量,住房和保险等SDOH措施.
主要成果:
- 16个SDOH概念解释了2096个纽约人口普查区糖尿病患病率变异的67%.
- 81个SDOH变量解释了80%的差异.
- 低教育程度和贫困是最有影响力的预测因素.
结论:
- SDOH显著解释了糖尿病患病率的邻居差异,独立于人口统计和健康行为.
- 基于地点的调查结果强调了减少社会经济和教育不平等的政策的潜力.
- 有针对性的干预措施可以帮助减轻纽约市糖尿病差异.
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