患者报告的社会风险与房屋指数之间的关联:农村与城市的比较
Jessica L Sosso1, Karen M Fischer2, Chung-Il Wi2
1Mayo Clinic Health System, Sparta, WI, USA.
Journal of primary care & community health
|September 2, 2025
概括
社会风险因素在农村人口中更为常见,但这主要是由于社会经济地位 (SES),而不是农村本身. 房子指数有效地识别了初级保健机构的风险患者.
科学领域:
- 主要护理研究
- 健康的社会决定因素
- 健康上的差异
背景情况:
- 社会风险因素对患者的健康状况产生重大影响.
- 评估社会经济地位对于了解健康差异至关重要.
- 房屋指数提供了一种使用住房数据进行SES评估的新方法.
研究的目的:
- 在农村初级保健环境中确定患者报告的社会风险因素的普遍性.
- 评估房子指数在评估社会经济地位 (SES) 中的有用性.
- 检查社会风险,房屋指数和农村地区之间的关系.
主要方法:
- 美国中西部成年初级保健患者的截面分析.
- 根据SES四分位数排名的患者地址使用的HOUSES指数.
- 从健康记录中收集的社会风险数据 (住房,食物,交通,财务,暴力).
- 使用混合效应建模来分析关联.
主要成果:
- 农村患者报告了所有社会风险因素的更高流行率和较低的SES (HOUSES四分位数).
- 霍斯指数四分位数是社会风险因素的重要预测指标 (OR=2.27).
- 在对HOUSES指数进行调整后,农村地区与社会风险没有独立联系 (OR=1.02).
结论:
- 农村人口中较高的社会风险因素主要是由社会经济地位 (SES) 解释的.
- 房子指数是一个有价值的工具来识别在初级保健中的风险患者.
- 而不是农村本身, 是这一群体社会风险的主要驱动因素.
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