人口层面的社会风险因素与糖尿病患病率之间的关联
Leonard E Egede1, Rebekah J Walker2, Sebastian Linde3
1Division of Population Health, Department of Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, 77 Goodell St., Suite 320, Buffalo, NY, 14203, USA. legede@buffalo.edu.
贫困和缺乏医疗保健等社会风险在人口普查系统层面显著增加了糖尿病患病率. 解决这些邻居因素对于公共卫生至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康的社会决定因素
背景情况:
- 糖尿病的患病率在美国各地有很大的差异.
- 健康的社会决定因素越来越被认为是影响慢性病率的关键因素.
研究的目的:
- 检查人口层面的社会风险因素与糖尿病患病率之间的关联.
- 确定关键的社会和医疗保健获取变量与美国人口普查通道层面的糖尿病相关.
主要方法:
- 利用了来自CDC PLACES 2019和机会洞察数据库的数据.
- 在38个州的11,457个人口普查区使用多重线性回归分析.
- 根据美国人口和国家固定效应进行调整,检查糖尿病患病率的相关性.
主要成果:
- 获得医疗保健 (保险,通常的护理来源) 与糖尿病患病率的关联最强.
- 包括贫困,住房成本,教育水平和监禁率在内的社会风险因素是重要的预测因素.
- 无保险人比例的标准偏差增加与原始糖尿病患病率的0.5SD增加有关.
结论:
- 获得医疗保健和社会风险因素是人口普查通道水平糖尿病患病率的主要驱动因素.
- 干预措施必须针对医疗保健的获取和社区层面的社会决定因素.
- 社区层面的战略对于缓解糖尿病差异至关重要.
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