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四个社区劣势指数与儿童慢性健康分类之间的关联
Kahir Jawad1, Yana B Feygin2, Michelle Stevenson3,4
1Norton Children's Research Institute affiliated with the University of Louisville School of Medicine, Louisville, KY, USA. Kahir.jawad@nortonhealthcare.org.
Pediatric research
|May 27, 2025
概括
邻居处境不利与儿童复杂慢性疾病的发病率更高有关. 即使是不复杂的慢性疾病也会增加邻居机会下降的几率,这突显了社会决定因素对儿童健康的影响.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 健康差异 在健康上的差异
背景情况:
- 社区特征是健康的社会决定因素.
- 了解邻居环境和儿童慢性疾病之间的联系至关重要.
研究的目的:
- 检查儿童慢性健康状况与四个常见的社区指数之间的分布和关联.
- 评估不同的邻里测量与儿童医疗复杂性分类的关系.
主要方法:
- 利用了115,738名有门诊访问和有效地址的儿童的数据.
- 分类结果为没有慢性疾病 (N-CD),非复杂的慢性疾病 (NC-CD) 和复杂的慢性疾病 (C-CD).
- 计算了四个社区指数:儿童机会指数 (COI),区域贫困指数 (ADI),社区不利指数和社会脆弱性指数 (SVI),使用多项逻辑回归.
主要成果:
- 所有四个邻里指数都是相关的 (r=0.80-0.92).
- 贫困地区的儿童患C-CD (5-39%) 和NC-CD (8-31%) 的几率高于贫困地区的儿童.
- 社区劣势/机会低与慢性疾病分类之间的关联随着劣势增加或机会减少而加强.
结论:
- 所有评估的邻居指数都显示了与儿童医疗复杂性分类的关联.
- 地区劣势指数 (ADI) 和儿童机会指数 (COI) 显示,C-CD赔率随着社区机会的减少而逐渐增加.
- 选择邻居指数应与研究目标和正在调查的特定人口保持一致.
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