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Robin Danek1, Justin Blackburn2, Marion Greene2
1Indiana University School of Medicine, Department of Family Medicine, 980 Indiana Ave, Indianapolis, IN, 46202, USA. rdanek@iupui.edu.
农村人口的衡量方式对抑郁症和物质使用障碍 (SUD) 住院的估计有重大影响. 了解这些差异对于农村医疗保健的有效政策和资源配置至关重要.
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
- 农村健康差异 农村健康差异
背景情况:
- 估计农村人口的医疗保健使用率是复杂的.
- "农村"的定义在不同研究中有所不同,这可能会影响研究结果.
研究的目的:
- 评估不同农村措施对抑郁症和物质使用障碍 (SUD) 的住院率的影响.
- 为了在这些不同的农村定义中比较患者人口统计数据.
主要方法:
- 在五个州对2018年州住院患者数据库 (SID) 的横截面分析.
- 使用了五种不同的农村分类:农村-城市通勤区 (RUCA),核心统计区 (CBSA),城市-农村类别 (URCategory4) 和两个农村-城市连续代码 (RUCC).
- 计算每项措施的住院率和患者特征 (年龄,种族,性别,保险);使用斯皮尔曼相关性和UpSet图表进行比较.
主要成果:
- 由于抑郁症 (3.2-8.1%) 和SUDs (5.0-11.6%) 的住院率因使用的农村度量而有显著差异.
- 农村患者的人口统计,包括种族和保险类型,在两个条件的农村分类中存在差异.
- 斯皮尔曼相关性表明,一些措施 (例如,SUDs的CBSA和URCategory4,r=0.99) 之间有很强的一致性,但对其他措施 (例如,抑郁症的RUCC和RUCA,r=0.61) 的一致性较弱.
结论:
- 选择农村地区的测量对抑郁症和SUD住院的估计负担产生了重大影响.
- 这些变化对政策制定,资源分配和旨在改善农村医疗保健获取和结果的有针对性的干预措施有重大影响.
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