通过县卫生排名系统调查听力损失和耳植入差异
Emaan Dawood1, Lawrance Lee2, Rasha Alsaadawi3
1School of Medicine, Virginia Commonwealth University, Richmond, Virginia, USA.
概括
弗吉尼亚州的听力损失和耳植入率与县级健康排名有关. 较差的社会,经济和临床护理因素与较高的听力损失相关,而物理环境影响耳植入率.
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:
- 听力损失 (HL) 是一个重要的公共卫生问题.
- 耳植入器 (CI) 是严重到严重的听力损失的关键干预措施.
- 了解HL和CI的地理差异对于有针对性的干预至关重要.
研究的目的:
- 为了确定弗吉尼亚州的县级听力损失 (HL) 和耳植入 (CI) 率.
- 为了将这些率与弗吉尼亚县健康排名 (CHR) 和美国社区调查 (ACS) 数据相关联.
- 确定与HL和CI差异相关的社会经济和环境因素.
主要方法:
- 从2016年到2020年,对弗吉尼亚全付款人索赔数据库 (APCD) 的回顾性分析.
- 每10万人口的县级HL和CI率的计算.
- 空间滞后建模以将HL/CI率与CHRz分数和ACS数据相关联.
主要成果:
- 对寿命,社会/经济因素和临床护理的较高CHRz分数与HL率有积极的关联.
- 健康行为z-score与HL率有负相关性.
- 物理环境z-score与CI率有负相关性,这表明潜在的障碍.
结论:
- 弗吉尼亚州的听力损失患病率和CI利用率与CHR指标有显著的关联.
- 物理环境因素,包括住房和交通,可能会影响较低的CI率.
- 需要进一步开展人口层面的研究,以了解这些关联,并为公共卫生战略提供信息.
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