美国儿童喘恢复中的种族,种族和社会经济差异
Elvin Khanjahani1, Young-Rock Hong2, Juha Baek3
1Department of Health, Exercise & Applied Science, Duquesne University, Pittsburgh, PA.
The Journal of pediatrics
|September 19, 2025
概括
儿童喘差异持续超过诊断到康复,不成比例地影响黑人和低收入儿童. 以公平为重点的战略对于长期的喘管理和改善结果至关重要.
科学领域:
- 儿科肺病学 儿科肺病学
- 健康差距 研究 研究 研究 研究
- 流行病学 流行病学
背景情况:
- 喘影响着美国数百万儿童,在不同的人口群体中,患病率和结果存在显著差异.
- 了解影响喘诊断和康复的种族,种族和社会经济因素对于有针对性的干预至关重要.
研究的目的:
- 调查儿童喘患病率和康复中的种族,种族和社会经济差异.
- 分析具有全国代表性的数据,以确定受喘影响不成比例的特定人口子组.
主要方法:
- 从国家儿童健康调查 (2016-2022) 收集的数据进行横截面分析.
- 多变量逻辑回归模型被用来计算调整的赔率比率 (aOR).
- 复杂的抽样权重确保了估计的全国代表性.
主要成果:
- 与非西班牙裔白人儿童相比,非西班牙裔黑人儿童的当前喘几率较高 (aOR2.03) 和恢复几率较低 (aOR0.66).
- 西班牙裔儿童的患病率适度较高,但康复率相似.
- 来自移民家庭的儿童患病率较低,恢复更快,而低收入儿童患病率较高,恢复较差.
结论:
- 儿童喘存在显著的种族,种族和社会经济差异,影响了患病率和康复率.
- 这些差异不成比例地影响黑人,低收入和社会经济弱势儿童.
- 需要以公平为重点的战略来改善弱势儿科群体的长期喘管理和康复.
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