收入,就业状况和喘结果之间的关联:系统性审查和元分析
Zakariah Gassasse1, Isaa D Khan2, Elliot Mok2
1Imperial College London, School of Public Health, 90 Wood Lane, London, W12 0BZ, United Kingdom.
The Lancet regional health. Europe
|July 21, 2025
概括
较低的收入与更多的喘恶化有关. 减少收入不平等可能有助于减少喘健康差异,特别是儿童和成人.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 卫生不平等仍然存在,这给公共卫生政策带来了重大挑战.
- 社会经济地位,特别是收入和就业,是健康的关键决定因素.
- 了解它们对喘等慢性疾病的影响至关重要.
研究的目的:
- 综合关于收入,就业和喘结果之间的联系的证据.
- 研究社会经济地位对喘恶化,住院和死亡率的影响.
- 为旨在减少喘健康差异的干预提供信息.
主要方法:
- 2010年至2025年间发表的研究的系统审查和元分析.
- 在Medline和Embase搜索了有关收入,就业和喘的研究.
- 使用ROBINS-E和ROB工具评估偏差风险;根据年龄分层进行元分析的恶化率.
主要成果:
- 30项研究符合纳入标准;大多数具有偏差风险较低.
- 较低收入群体中的个人患喘恶化的可能性更高 (OR 1.25).
- 这种关联在儿童 (OR 1.36) 和成年人 (OR 1.19) 中都被观察到.
结论:
- 较低的收入与喘恶化增加显著相关.
- 有证据表明,需要采取针对收入不平等的上游干预措施,以减少喘差异.
- 需要进一步研究失业在喘恶化中的具体作用.
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