出生时居住与使用成服务之间的关联:马萨诸塞州出生记录队列的空间分析
Yingjing Xia1, Carolina Villanueva1, Verónica M Vieira1
1Joe C. Wen School of Population & Public Health, University of California, Irvine, Irvine, CA, United States.
Frontiers in epidemiology
|March 17, 2025
概括
邻里环境对物质使用障碍的影响. 新贝德福德港附近的出生地址与更高的服务利用率相关,这是由家庭教育等社会经济因素驱动的.
科学领域:
- 环境健康 环境健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 药物使用障碍 (SUDs) 影响着许多美国人,社区环境可能会影响警察,卫生和治疗机会的差异.
- 很少有研究分析了SUD和社会环境的空间分布.
- 这项研究的重点是新贝德福德港超级基金地点附近出生的人,该地区具有潜在的种族,社会经济和环境压力因素.
研究的目的:
- 检查出生地址与使用物质成服务之间的关联.
- 识别服务利用中的地理差异.
- 了解社会经济和环境因素在这些差异中的作用.
主要方法:
- 从马萨诸塞州利用出生记录 (1992-1998) 和物质成服务利用数据 (到2022年).
- 采用了带有空间平滑的通用增量模型 (GAM) 来估计局部赔率比率 (OR).
- 根据社会人口统计学风险因素进行调整,以确定导致地理差异的因素.
主要成果:
- 出生地址与年轻成年人使用物质成服务有显著的关联 (p=0.037).
- 最高的风险 (OR=1.42) 观察到最接近港口.
- 家庭教育和产前护理支付者是显著的预测因素 (p<0.001) 和空间混因素.
结论:
- 出生地址与以后生活中使用物质成服务有显著的关联.
- 社会经济因素,特别是家庭教育和产前护理支付者,是这些观察到的地理差异的主要驱动因素.
- 调查结果强调了在理解SUD服务利用时考虑社会经济背景的重要性.
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