儿童机会指数与个人社会风险之间的关联
Florinda Islamovic1, Samantha Levano1,2, Hemen Muleta1
1Department of Pediatrics, Albert Einstein College of Medicine, Children's Hospital at Montefiore Einstein, Bronx, NY.
Journal of pediatrics. Clinical practice
|September 2, 2025
概括
儿童机会指数 (COI) 是个体健康相关社会需求 (HRSN) 的一个糟糕的代表. 在确定这些需求方面,COI 3.0比COI 2.0有所改善.
科学领域:
- 儿童健康
- 健康的社会决定因素
- 医疗公平
背景情况:
- 像儿童机会指数 (COI) 这样的区域级指数被用作个人健康相关社会需求 (HRSN) 的代表.
- 现有的文献表明使用这些区域级索引存在局限性.
- 没有先前的研究评估了COI和个体HRSN之间的关系,特别是在儿童群体中.
研究的目的:
- 评估儿童机会指数 (COI) 版本2.0和3.0与个人健康相关社会需求 (HRSN) 之间的关系.
- 评估COI作为识别儿科患者HRSN的替代值的实用性.
主要方法:
- 在一家大型学术医院对儿童患者进行HRSN查的横截面研究.
- 包括17760名具有HRSN和地理标识的儿童.
- 多变量后勤回归模型分析COI三位数与HRSN之间的关联,包括预测能力计算.
主要成果:
- 与机会较高的地区相比,在中等 (OR 1.57) 和低 (OR 2.34) 的地区,国家标准化COI 3.0显示HRSN的几率显著更高.
- 只有在机会较低的地区 (OR 1.87) 才有更高的HRSN概率.
- 在HRSN和COI2. 0或大都会正常化COI3. 0之间没有发现显著的关联.
结论:
- 儿童机会指数 (COI) 作为一个上下文的衡量标准,但对个体的健康相关社会需求 (HRSN) 是一个不充分的代表.
- 从COI2.0到3.0观察到的改善强调了持续指数发展和更新的重要性.
- 可能需要进一步的研究来完善区域级指数,以便更好地评估个人级别的健康需求.
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