包裹级住房条件和儿科喘医院利用情况
Cole Brokamp1,2, Sarah Ray1, Qing Duan2
1Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
恶劣的住房条件,指的是违反守则的行为,显著增加了儿科喘恶化的风险. 这凸显了针对家庭环境的干预措施的必要性,以改善儿童健康结果.
科学领域:
- 环境健康 环境健康
- 儿童喘研究 儿童喘研究
- 公共卫生政策 公共卫生政策
背景情况:
- 儿童喘恶化导致经常住院治疗.
- 以前的研究表明住房质量和喘之间存在联系,但缺乏个人层面的数据.
- 需要在个人和地块层面的证据来证实这种关联.
研究的目的:
- 调查住房规范违规行为对儿科喘恶化的影响.
- 分析个人层面的住房违法行为与喘结果之间的关联.
- 提供有关住房质量和儿科喘的包裹级证据.
主要方法:
- 从辛辛那提儿童医院医疗中心使用电子健康记录的回顾性队列研究 (2016年7月至2022年7月).
- 在22,762个独特地址上跟踪了13,404名儿科喘患者.
- 暴露定义为在前一年内居住在有住房法规违规的地块上;结果是喘恶化时间.
主要成果:
- 12%的患者住在房屋违反住房法规的房屋中.
- 前一年的住房违法行为与喘恶化的风险增加了34% (HR, 1.34; 95% CI, 1.08-1.67).
- 对公共保险和住房市场价值进行控制的调整模型.
结论:
- 违反住房规范与患儿喘恶化的风险更高有关.
- 改善住房条件可能是减少喘相关医疗利用的可行策略.
- 需要进一步的研究来探索住房改善干预措施的影响.
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