2011年至2021年美国50个州的福利政策,关节疼痛患病率和教育差距:固定的影响分析
Rui Huang1, Yuhang Li2, Feinuo Sun3
1Department of Sociology and Criminology, University at Buffalo, Buffalo, NY, USA.
The journal of pain
|September 4, 2025
概括
关节炎的患病率和教育差异在全国范围内不断增加, 慷慨的医疗补助政策可能有助于减轻疼痛,
科学领域:
- 公共卫生
- 健康经济学
- 流行病学
背景情况:
- 关节炎相关关节疼痛的地理差异及其时间趋势未得到充分研究.
- 国家级福利政策对这些差异的影响在很大程度上还未被探索.
研究的目的:
- 分析美国各州中度/重度关节炎相关关节疼痛的时空趋势.
- 研究关节疼痛的教育差异.
- 评估国家福利政策 (SNAP,EIC,最低工资,UI,医疗补助) 对关节疼痛和教育差异的影响.
主要方法:
- 使用行为风险因素监测系统 (BRFSS) 的六波两年制国家级数据.
- 使用后勤回归来估计流行趋势和教育差异.
- 应用固定的效应回归与国家和年度固定的效应,结合SPPD和KFF的政策数据.
主要成果:
- 在大多数州, 关节疼痛的患病率有所增加,
- 这些趋势在各州之间存在显著差异;科罗拉多州和北达科他州的增幅更为明显.
- 慷慨的医疗补助计划与关节疼痛的减少有关, 特别是对受教育程度最低的人群.
结论:
- 国家福利政策在缓解痛苦差异方面发挥着至关重要的作用.
- 需要有针对性的干预措施来支持受教育程度较低且关节疼痛负担较高的人群.
- 宏观层面的政策决定因素对疼痛患病率和相关差异有很大影响.
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