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透析患者周围动脉疾病的社会经济决定因素:国家一级分析
George Liu1, Rishab Agarwal2, Neel Edupuganti1
1Medical College of Georgia, 1120 15(th) St, Augusta, Georgia, 30912, United States.
Annals of vascular surgery
|February 15, 2026
概括
贫困和缺乏保险等健康的社会决定因素与透析患者的外周动脉疾病 (PAD) 有关. 这些因素,以及地理和设施差异,影响了PAD.
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:
- 周围动脉疾病 (PAD) 是一个重大的全球健康挑战.
- 在透析患者中,PAD是一种常见且使人虚弱的并发症.
- 在透析患者群体中,健康社会决定因素 (SDH) 对PAD的影响尚不清楚.
研究的目的:
- 调查邮政编码级社会经济指标与PAD发病率和流行率之间的联系.
- 评估SDH对美国透析患者PAD负担的影响.
主要方法:
- 使用了2022年医疗保险透析设施数据集.
- 将透析中心与邮政编码和社会脆弱性指数 (SVI) 相匹配.
- 采用多变量线性回归模型来分析SDH和PAD负担.
主要成果:
- 东北地区的PAD发病率和流行率最高.
- 贫困和缺乏保险与PAD发病率有积极联系.
- 没有保险与PAD患病率有积极的关联,而贫困和农村是负面预测因素.
结论:
- 在透析患者中,无保险状况和贫困是与PAD相关的显著SDH.
- 对发病率和流行率的不同影响凸显了结构,地理和设施差异的相互作用.
- 调查结果强调需要解决SDH以减轻这种脆弱人群中的PAD负担.
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