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太平洋地区人群受伤三个月后的情况:新西兰队列研究中太平洋地区和非太平洋地区参与者的结局比较。

Pacific peoples three months after injury: a comparison of outcomes between Pacific and non-Pacific participants in a NZ cohort study.

机构信息

Injury Prevention Research Unit, Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, New Zealand Pacific Islands Research and Student Support Unit, Division of Health Sciences, University of Otago, New Zealand Injury Prevention Research Unit, Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, New Zealand.

出版信息

Aust N Z J Public Health. 2013 Oct;37(5):463-9. doi: 10.1111/1753-6405.12124.

DOI:10.1111/1753-6405.12124
PMID:24090330
Abstract

OBJECTIVES

To: describe pre-injury characteristics of Pacific (n=239) and non-Pacific (n=2,611) participants and compare their outcomes three months after injury.

METHODS

Participants were New Zealand residents aged 18-64 years referred to the Accident Compensation Corporation's injury entitlement claims register. Univariate and multivariable analyses compared pre-injury and injury-related characteristics of Pacific and non-Pacific people and assessed the unadjusted and adjusted relative risks for selected outcomes.

RESULTS

Of the 2,856 participants, 239 identified at least one Pacific ethnicity. Adjusted relative risks (aRR; 95% confidence intervals) for Pacific peoples, with the non-Pacific group as the reference, indicate Pacific peoples were: less likely to have no/lesser problems with disability (aRR=0.82; 0.70,0.95); less likely to have no problems with EQ-5D self-care (aRR=0.88; 0.80,0.98); less likely not to report EQ-5D anxiety/depression (aRR=0.84; 0.76,0.93); and less satisfied with social relationships three months after injury (aRR=0.89; 0.83,0.95).

CONCLUSIONS

Evidence does not suggest Pacific peoples' likelihood of paid employment differs from non-Pacific people three months after injury. However, Pacific peoples appear to have an increased likelihood of problems with disability, self-care, anxiety/depression and social relationships.

IMPLICATIONS

This study provides information about a range of previously unknown outcomes following injury for Pacific peoples in New Zealand, and suggests areas of possible focus for health and rehabilitation service providers and policy-makers interested in improving outcomes for injured Pacific peoples.

摘要

目的

描述太平洋(n=239)和非太平洋(n=2,611)参与者的受伤前特征,并比较他们受伤后三个月的结果。

方法

参与者为新西兰 18-64 岁的居民,被转介到意外伤害赔偿公司的伤害权益索赔登记处。单变量和多变量分析比较了太平洋和非太平洋人群的受伤前和与受伤相关的特征,并评估了选定结果的未调整和调整后的相对风险。

结果

在 2,856 名参与者中,有 239 人至少确定了一种太平洋族裔。调整后的相对风险(aRR;95%置信区间),以非太平洋人群为参考,表明太平洋人群:残疾问题不太可能没有/较少(aRR=0.82;0.70,0.95);不太可能没有自我护理的 EQ-5D 问题(aRR=0.88;0.80,0.98);不太可能不报告 EQ-5D 焦虑/抑郁(aRR=0.84;0.76,0.93);受伤后三个月对社会关系的满意度较低(aRR=0.89;0.83,0.95)。

结论

没有证据表明太平洋人群在受伤后三个月获得带薪就业的可能性与非太平洋人群不同。然而,太平洋人群在残疾、自我护理、焦虑/抑郁和社会关系方面似乎有更高的问题发生可能性。

意义

本研究提供了新西兰太平洋人群受伤后一系列先前未知结果的信息,并为有兴趣改善受伤太平洋人群结果的健康和康复服务提供者和政策制定者提供了可能关注的领域。

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Pacific peoples three months after injury: a comparison of outcomes between Pacific and non-Pacific participants in a NZ cohort study.太平洋地区人群受伤三个月后的情况:新西兰队列研究中太平洋地区和非太平洋地区参与者的结局比较。
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