在加拿大的种族化群体中可避免的住院治疗:来自2016年加拿大人口普查健康和环境队列的结果
Anita Brobbey1, Vijata Sharma1, Maegan Mazereeuw1
1Centre for Health Data Integration, Statistics Canada.
在加拿大,可避免的住院治疗不成比例地影响了种族化群体,特别是黑人男性,在COVID-19大流行期间显著增加. 这些趋势凸显了弱势群体在初级保健获取和质量的严重差异.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 门诊护理敏感条件 (ACSCs) 是可以在初级保健中管理的疾病,可以避免住院治疗.
- 可避免的住院可能表明初级保健的准入和质量存在缺陷.
- 这项研究调查了加拿大的种族化群体中可避免住院的趋势.
研究的目的:
- 检查加拿大不同种族群体可避免住院治疗的趋势.
- 为了确定特定的种族化人口经历更高的可避免住院率.
- 评估COVID-19大流行对这些住院趋势的影响.
主要方法:
- 利用了2016年加拿大人口普查健康和环境队列.
- 从2016/2017年到2021/2022年为ACSC计算的年龄标准化住院率 (ASHRs).
- 采用后勤回归来分析速率比率 (RRs) 和95%置信区间 (CI),调整为共变量.
主要成果:
- 男人,黑人和非移民有更高的可避免住院的几率.
- 中国人和"其他种族化群体"的人的几率较低.
- 在2020/2021年期间,与非种族化男性相比,黑人男性的RR显著增加,而黑人女性的RR则有所下降.
结论:
- 在加拿大,在可避免的住院治疗中存在显著的健康不平等,特别影响黑人人口.
- 流行病相关的变化加剧了这些差异,尤其是黑人男性.
- 对基本因素的进一步研究,如初级保健准入,对于有针对性的干预措施至关重要.
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