日本学龄前儿童的区域贫困和健康结果:全国性队列研究
Naomi Matsumoto1, Etsuji Suzuki1, Soshi Takao1
1Department of Epidemiology, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University.
Journal of epidemiology
|April 6, 2025
概括
日本的地区贫困与儿童健康问题增加有关,例如住院治疗和喘,尽管有全民医疗保健. 这凸显了为儿童福祉解决健康的社会决定因素的必要性.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 健康的社会经济决定因素
背景情况:
- 自20世纪90年代以来,日本的全民医疗保险制度并没有阻止健康差距的增加.
- 区域剥夺对儿童健康结果的影响需要进一步调查.
研究的目的:
- 评估日本地区贫困和多种儿童健康结果之间的关联.
- 调查儿童健康不平等的地理差异.
主要方法:
- 一项基于人口的队列研究,对38,554名出生在日本的儿童 (2010) 进行了跟踪,直到55岁.
- 贝叶斯逻辑回归模型分析了市级区域贫困指数 (ADI) 与各种健康结果之间的联系.
- 对个人层面的因素进行了调整.
主要成果:
- 较高的ADI与全因住院,呼吸道感染,胃肠道疾病,喘和过敏性鼻炎的风险增加相关.
- 在5.5岁时超重/肥胖的患病率在贫困程度较高的地区更高.
- 在市级观察到健康结果的地理聚类.
结论:
- 在日本,在各种儿童健康结果中存在着持续的市级健康不平等.
- 这些差异仍然存在,尽管有全民医疗保险制度.
- 政策干预应针对医疗保健之外的更广泛的健康社会决定因素,以减少儿童健康不平等.
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