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:一项固定效应分析
medRxiv : the preprint server for health sciences
|September 15, 2025
概括
关节炎疼痛的患病率在全国范围内增加,扩大了教育差异. 慷慨的州医疗补助计划可能有助于减少痛苦和不平等,特别是对受教育程度较低的人来说.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康的社会经济决定因素
背景情况:
- 关节炎相关疼痛的地理差异还没有得到充分的研究.
- 时间趋势和国家福利政策对疼痛差异的影响需要进行调查.
研究的目的:
- 检查美国各州关节炎相关关节疼痛患病率的时空趋势.
- 分析关节疼痛中的教育差异.
- 评估国家福利政策对疼痛和教育差异的影响.
主要方法:
- 利用来自行为风险因素监测系统 (BRFSS) 的6波两年一次的州级面板数据.
- 使用后勤回归来估计流行趋势和教育差异.
- 纳入国家福利政策数据,并使用固定效应回归来评估政策影响.
主要成果:
- 在大多数州,关节疼痛的患病率有所增加,教育差距扩大了一半以上.
- 科罗拉多州和北达科他州的疼痛患病率和教育不平等率特别大幅增加.
- 慷慨的医疗补助计划与减少关节疼痛患病率和较小的教育不平等有关.
结论:
- 国家福利政策在解决疼痛差距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,疼痛患病率较高的受教育程度较低的人群.
- 对疼痛差异的宏观政策决定因素的进一步研究是必不可少的.
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