在儿科喘风险评分中,社会经济贫困的表现与种族相等
Jocelyn M Biagini1,2, Hua He3, Wan-Chi Chang1
1Division of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
概括
社会经济贫困 (SED) 指数以及种族在预测儿童喘风险方面的表现. 在喘风险模型中使用SED而不是种族可以帮助减少健康差异.
科学领域:
- 儿童喘研究 儿童喘研究
- 健康差距 研究 研究 研究 研究
- 环境健康 环境健康
背景情况:
- 种族是儿科喘风险评分 (PARS) 的代理因素,可能会促进种族主义和健康差异.
- 社会经济贫困 (SED) 指数提供了更全面的衡量影响喘风险的因素.
研究的目的:
- 在PARS模型中,比较11个SED指数与种族的表现.
- 评估用SED取代种族对喘风险分类的影响.
主要方法:
- 从CCAAPS和MPAACH队列中对708名儿童进行了纵向分析.
- 在PARS模型中使用曲线下的面积 (AUC) 评估11个SED指数和种族.
主要成果:
- 在预测儿童喘方面,SED指数的表现与种族相美.
- 93%的儿童在使用SED而不是种族时仍处于相同的喘风险类别.
- 没有社会经济或环境因素解释了风险类别的7%变化.
结论:
- 在PARS模型中,SED指数是估计儿童喘风险的可行替代品.
- 用SED取代种族可以减轻结构性种族主义,减少健康差距.
- 这种方法支持更公平的儿童喘风险评估.
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