英国的长期限制性疾病:在COVID封锁之前和之后
Vani K Borooah1, Colin G Knox1,2
1Ulster University, Belfast, UK.
概括
在英国,从2019年到2022年,所有人口子组的长期疾病 (LTLI) 倾向显著增加. 在LTLI中,职业阶级不平等也持续存在,在较低的社会经济群体中观察到更高的风险.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 卫生经济学 卫生经济学
背景情况:
- 长期疾病 (LTLI) 对个人和医疗保健系统构成重大负担.
- 了解LTLI的社会经济差异对于有针对性的健康干预至关重要.
- COVID-19 流行病可能改变了 LTLI 的流行率和相关的不平等.
研究的目的:
- 分析2019年至2022年期间英国LTLI的演变情况.
- 检查不同人口子组中LTLI倾向的变化.
- 评估职业阶级对LTLI及其趋势的影响.
主要方法:
- 利用了2019年和2022年的英国劳动力调查数据.
- 使用后勤回归来估计LTLI的预测概率 (PP).
- 在两年间比较了LTLI的流行率和职业梯度.
主要成果:
- 管理类/专业类在两年中都显示出较高的没有LTLI的PP和较低的限制LTLI的PP,与常规类相比.
- 在职业阶级之间存在LTLI倾向的显著不平等.
- 总体上,包括限制条件和非限制条件在内的LTLI倾向从2019年到2022年在整个人口及其子组中显著增加.
结论:
- 职业阶级仍然是LTLI的重要决定因素,突出了持续的健康不平等.
- 2019年至2022年期间,在英国人口中,LTLI的普遍增加.
- 需要进一步的研究,以了解增加LTLI的具体驱动因素,并解决长期健康的社会经济差异.
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