儿童喘风险分层使用k-Means集群
Mandana Rezaeiahari1, Arina Eyimina1, Melanie Boyd1
1College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
概括
使用健康的社会决定因素识别儿童喘患者的不同群体可以改善护理. 机会较低的地区的儿童,特别是黑人儿童, 面临更高的喘恶化风险.
科学领域:
- 儿童健康
- 社会流行病学
- 健康上的差异
背景情况:
- 喘不成比例地影响儿童,健康的社会决定因素 (SDOH) 在恶化和结果中起着重要作用.
- 根据SDOH确定特定的儿童喘患者群体对于有针对性的干预和减少健康差异至关重要.
研究的目的:
- 用SDOH将儿童喘患者分为不同的群体.
- 确定喘恶化的高风险群体,并制定量身定制的护理策略.
主要方法:
- 在阿肯色州使用了22,169名5至18岁的喘儿童的保险索赔和登记数据.
- 采用通用低等级模型和K-means集群,包括并发症,药物数据,儿童机会指数和农村城市分类.
- 根据喘相关的急诊室访问和住院情况进行了对比.
主要成果:
- 通过K-means集群,确定了六个不同的儿童喘患者群体.
- 黑人儿童比例较高,居住在儿童机会指数较低的社区, 喘相关的急诊诊次数显著增加.
- 这一高风险群体在教育,健康,环境和社会经济方面的差异很大.
结论:
- 儿童喘差异需要解决社会,经济和环境不平等的问题.
- 人口风险分层,正如集群所示,可以有效地识别高风险群体,如低机会地区的黑人儿童,以进行量身定制的喘管理.
- 这项研究强调了SDOH在了解和缓解儿童喘恶化方面的潜力.
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