根据社会健康驱动因素 (SDOH) 分层的MR肠道学利用差异:基于邮政编码的分析
Isabella Paredes Spir1, Olivia Michaels2, Shabaz Khan2
1University of Massachusetts Chan Medical School, Worcester, USA. isabella.paredesspir@umassmed.edu.
Abdominal radiology (New York)
|December 27, 2025
概括
处境不利的地区的患者使用MR肠镜的频率较低. 这种较低的MR肠镜利用率可能导致炎症性肠病结果的差异.
科学领域:
- 放射学和医学成像学 医学成像学
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 健康的社会驱动因素 (SDOH) 显著影响健康结果.
- 核磁共振肠镜 (MRE) 是炎症性肠病 (IBD) 的关键诊断工具.
- 了解跨不同社会经济因素的MRE利用模式对于公平的医疗保健至关重要.
研究的目的:
- 为了调查MR肠道学 (MRE) 使用的差异.
- 为了分析MRE在UMass纪念医疗中心周围的健康社会驱动因素 (SDOH) 分层的邮政编码中的使用.
- 确定社会经济因素是否影响获得先进的诊断成像.
主要方法:
- 基于人口的回顾性研究分析了从2018年到2022年的MRE利用情况.
- 在10英里半径内计算每个邮政编码人口的MRE利用率.
- 从美国人口普查局和疾病预防控制中心收集的SDOH数据 (收入,贫困,保险,种族,交通,SVI).
主要成果:
- 55个月的平均MRE利用率为每1000人中1.1个.
- 处于不利地位的邮政编码在所有SDOH因素中显示MRE利用率始终较低.
- 最显著的差异是基于社会脆弱性指数 (SVI) 和交通工具 (缺乏汽车) 的差异.
结论:
- 在社会经济上处于劣势地区的个人使用MR肠道图 (MRE) 的比例较低.
- 在MRE利用中的差异可能导致炎症性肠病 (IBD) 患者的不平等健康结果.
- 解决SDOH至关重要,以确保公平获得IBD评估诊断成像.
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