基于社区的未满足社会需求和病风险因素的查:DECK试点观察研究的发现
Amber B Paulus1,2,3, April McGraw4, R K Elswick5
1Associate Chief Nephrology Research and Data Analytics and an Assistant Professor, Department of Internal Medicine, Division of Nephrology School of Medicine, Virginia Commonwealth University, Richmond, VA.
概括
健康的社会决定因素 (SDOH) 影响慢性病 (CKD) 风险. 该DECK研究发现未满足的社会需求,特别是财务和社会需求,与脆弱人群中较高的CKD风险相关.
科学领域:
- 公共卫生 公共卫生
- 腎臟病學 (nephrology) 是一種醫學專業.
- 健康 公平 卫生 公平
背景情况:
- 健康的社会决定因素 (SDOH) 是影响慢性病 (CKD) 风险的关键因素,特别是在服务不足的社区.
- 历史上被边缘化的地区,比如里士满的东区,面临着严重的社会脆弱性,影响健康结果.
- 了解SDOH和CKD之间的相互作用对于解决健康差异至关重要.
研究的目的:
- 调查脆弱人群中未满足的社会需求与CKD风险之间的联系.
- 评估CKD的认识和感知可预防性在一个历史上服务不足的城市地区的居民.
- 为脏健康公平制定有针对性的干预措施提供信息.
主要方法:
- "为脏设计公平护理 (DECK) "研究招募了来自弗吉尼亚州里士满市东区的61名参与者.
- 数据收集包括评估CKD风险和确定金融和社会领域未得到满足的社会需求.
- 统计分析对社会需要的严重程度与CKD风险水平之间的关系进行了分层.
主要成果:
- 对于CKD的认识是中度的 (71%),只有36%的人认为可以预防.
- 参与者报告了大量未得到满足的需求,特别是在经济和社会支持方面.
- 观察到一种剂量与反应的关系:中度的社会需求与中度 (24.6%) 和高 (9.8%) CKD 风险的最高患病率有关.
结论:
- 未满足的社会需求,特别是金融和社会需求,与慢性病风险的增加有显著的关联.
- 解决临床和社会决定因素的综合干预是必要的,以减轻脏健康差异.
- 针对社会弱势群体的干预措施对于改善脏健康结果至关重要.
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