过敏性鼻炎-代表人数不足以及医疗保健获取障碍
Sophia J Peifer1, Zachary M Helmen1, Stuart Duffield2
1Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, Florida, USA.
过敏性鼻炎 (AR) 影响11.6%的人口,在保险人,老年人,白人和女性中患病率更高. 存在治疗差异,黑人患者和低收入人群面临抗胺剂和鼻类固醇使用障碍.
科学领域:
- 过敏和免疫学 过敏和免疫学
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 过敏性鼻炎 (AR) 是一种影响生活质量的常见疾病.
- 了解人口变化和医疗保健准入对于有效管理至关重要.
研究的目的:
- 为了确定不同的人口统计数据中AR的流行率.
- 确定AR患者获得医疗保健和治疗的障碍.
- 检查AR亚组中抗组胺剂和鼻类固醇的使用情况.
主要方法:
- 使用我们所有人的数据库进行回顾性,横截面研究.
- 通过千平方和多变量逻辑回归 (MLR) 来分析AR患者的社会人口学因素.
- 在EHR中,AR患者与没有使用特定药物 (鼻类固醇喷雾剂,口服抗胰岛素) 的比较.
主要成果:
- 在47,224名参与者中发现了估计11.6%的AR患病率.
- 在白人,女性和老年人 (65岁以上) 中,AR更为普遍.
- 医疗保险,更高的收入和教育预测了AR诊断,而较低的收入和黑人种族与记录的抗组胺剂/鼻类固醇使用有关.
结论:
- 根据人口统计因素和保险状况,AR的患病率有很大差异.
- 在黑人患者和收入较低的人群中,获得AR治疗,特别是抗组胺剂和鼻类固醇的差异很明显.
- 医疗保健提供者必须解决这些障碍,以确保为所有AR患者提供公平的护理.
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