艾滋病毒感染者的社会需求和再入院
Guangjin Zhou1, Laura J Mintz2,3, Nicholas K Schiltz4,5
1Department of Population and Quantitative Health Sciences, School of Medicine, Case Western Reserve University, 10900 Euclid Avenue, WG-43, Cleveland, OH, 44106-4945, USA. gxz25@case.edu.
与健康相关的社会需求 (HRSN) 显著增加了艾滋病毒感染者 (PLWH) 住院再接收人数. 解决这些社会决定因素对于降低这一脆弱人群的再接收率至关重要.
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
- 艾滋病毒 医学 艾滋病毒 医学
背景情况:
- 与健康相关的社会需求 (HRSN) 对医疗保健的利用和结果产生影响.
- 以前的研究表明,HRSN患者的再入院率更高.
- 在人口层面上,HRSN对艾滋病毒感染者 (PLWH) 重新入院的具体影响仍未得到充分探索.
研究的目的:
- 检查住院PLWH中HRSN的患病率.
- 评估PLWH中HRSN和医院再入院率之间的关联.
- 为了确定HRSN对90天和1年的再录取的影响.
主要方法:
- 使用2016-2019佛罗里达州和马里兰州住院患者数据库 (SID) 的回顾性研究.
- 使用ICD-10诊断代码在就业,住房和心理社会因素等领域识别HRSN.
- 采用多变量后勤回归来分析HRSN和再入学之间的关联,控制混因素.
主要成果:
- 在佛罗里达州,9.6%的PLWH患有HRSN,90天 (40.6%对23.1%) 和一年 (73.6%对41.3%) 的再入院率显著更高.
- 在马里兰州,12.5%的PLWH患有HRSN,显示出更高的90天 (39.9%对20.4%) 和一年 (68.2%对37.9%) 再入院率.
- 在两个州的HRSN数量和再接收率之间观察到剂量反应关系.
结论:
- HRSN的存在与PLWH中医院再入院率的增加显著相关.
- 这些发现强调了在再接收研究中考虑健康的社会决定因素的重要性.
- 需要针对HRSN的干预措施,以减少PLWH的再入院.
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