加拿大基于人口的链接队列中的急性胃肠道疾病的危险因素
Anthony Justin Gilding1, Ian Young1, Lauren E Grant2
1School of Occupational and Public Health, https://ror.org/05g13zd79Toronto Metropolitan University, Toronto, ON, Canada.
Epidemiology and infection
|October 7, 2025
概括
自我认为健康状况不佳或患有慢性疾病的人面临急诊室访问和急性胃肠道疾病 (AGI) 住院的风险更高. 了解这些社会人口统计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
- 医疗保健服务研究 医疗服务研究
背景情况:
- 急性胃肠道疾病 (AGI) 是一个重要的公共卫生问题.
- 对AGI风险的社会人口学差异尚不清楚.
- 了解风险因素可以为有针对性的公共卫生干预提供信息.
研究的目的:
- 为了确定与急诊室 (ED) 访问和AGI住院相关的社会人口统计因素.
- 根据各种特征量化AGI相关的医疗保健利用风险.
主要方法:
- 使用与行政健康记录 (NACRS和DAD) 相关的加拿大社区健康调查数据进行回顾性队列研究.
- 截至2017年12月,追踪了190,700名急救诊所的受访者和470,700名因AGI住院的受访者.
- 考克斯比例危险回归被用来估计危险比率 (HR) 和95%置信区间 (CI).
主要成果:
- 6%的受访者进行了急救访问,2%的受访者因AGI住院.
- 糟糕的自我感知健康状况显著增加了急救诊所 (HR 1.47) 和住院 (HR 1.92) 的风险.
- 患有慢性病的生活也增加了急救诊所 (HR 1.54) 和住院 (HR 1.65) 的风险.
结论:
- 社会人口统计学因素,特别是自我感知健康和慢性疾病,与AGI相关的医疗保健需求增加有关.
- 在加拿大背景下确定的高风险群体需要进一步调查潜在机制.
- 对病原体暴露差异的进一步研究是有必要的,以减少AGI风险.
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