健康的社会决定因素和肺功能的种族差异:来自NHANES 2007-2012年的研究结果
Amin Adibi1, Christopher Carlsten2, Emily P Brigham2
1The University of British Columbia, Respiratory Evaluation Sciences Program, Collaboration for Outcomes Research and Evaluation, Faculty of Pharmaceutical Sciences, Vancouver, British Columbia, Canada; amin.adibi@ubc.ca.
概括
健康的社会决定因素 (SDoH) 显著影响肺功能中的种族差异. 解决不利的SDoH解释了这些肺功能缺陷的比例比以前理解的要大.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 健康的社会决定因素 (SDoH) 越来越多地被认为是它们在健康差异中的作用.
- 肺功能中的种族差异是一个重大的公共卫生问题.
- 以前的研究可能低估了SDoH对肺功能差异的影响.
研究的目的:
- 调查健康的社会决定因素 (SDoH) 如何解释肺功能中的种族差异.
- 量化排除不良SDoH个体对种族群体之间的肺功能差异的影响.
主要方法:
- 利用NHANES 2007-2012年的数据来定义逐渐更健康的参考人群.
- 根据包括吸烟,呼吸道疾病,职业暴露,身体不活动,肥胖和社会经济地位在内的因素,依次排除参与者.
- 种族/族裔少数群体和非西班牙裔白人参与者之间FEV1和FVC的年龄,性别和身高调整差异的比较.
主要成果:
- 排除不良SDoH的个体减少了非西班牙裔黑人和其他西班牙裔儿童和成人肺功能中的种族差异.
- 非西班牙裔黑人儿童和成年人以及其他西班牙裔儿童和成年人的肺功能差异有所减少.
- 非西班牙裔亚洲成年人的肺功能差异增加,而非西班牙裔亚洲儿童的肺功能差异下降.
结论:
- 健康的不利社会决定因素不成比例地影响种族和少数民族人口.
- SDoH解释了在肺功能方面的种族差异的大量和以前报告不足的比例.
- 针对SDoH可能对减少肺功能不平等至关重要.
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