语言障碍是导致老龄人口骨密度查健康差异的一个驱动因素
Tanner B Heaton1, Nathan F Behrens1, J B Eyring1
1Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City Utah.
American journal of preventive medicine
|January 8, 2026
概括
使用DXA扫描查骨质疏松症的差异影响老年妇女. 有限的英语水平和健康的社会决定因素对获得这一关键查有重大影响.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 骨质疏松症是老龄化人口的主要健康问题,导致骨折.
- 双能X射线吸收仪 (DXA) 扫描对于女性骨质疏松症查至关重要,以预防骨折.
- 在不同人群中DXA查获取现有的差异需要进一步分析.
研究的目的:
- 分析老年妇女在DXA查使用中的差异.
- 为了确定与减少DXA查相关的健康社会决定因素 (SDOH).
- 调查有限的英语水平 (LEP) 对选不平等的具体影响.
主要方法:
- 利用了2018年,2020年和2022年美国医疗支出小组调查的数据.
- 使用后勤回归建模来评估SDOH,LEP和DXA查之间的关联.
- 开发了两个模型:一个用于SDOH,另一个包含SDOH和LEP.
主要成果:
- 在没有骨质疏松症的10,079名受访者中,48%接受了DXA查 (平均年龄69岁).
- 低收入,低学历,少数种族/少数民族和LEP与较低的查率有关.
- 西班牙裔妇女的查概率下降了55%,这在计算LEP时变得无关紧要.
结论:
- 在通过DXA扫描查骨质疏松症时存在显著的SDOH差异.
- 有限的英语水平改变了种族/种族和DXA查之间的关联.
- 对这些差异的认识对于医疗保健提供者来说至关重要,以确保公平的骨质疏松症预防和治疗.
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