简要报告：城市医院系统服务的公屋居民中心血管代谢疾病负担的特征。
Brief Report: Characterizing the Burden of Cardiometabolic Disease among Public Housing Residents Served by an Urban Hospital System.
机构信息
Department of Family & Social Medicine, Albert Einstein College of Medicine, Bronx, NY.
Department of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, NY.
出版信息
Ethn Dis. 2019 Jul 18;29(3):463-468. doi: 10.18865/ed.29.3.463. eCollection 2019 Summer.
OBJECTIVE
Housing status is a primary social determinant of health that is not typically not collected in clinical settings. Residential address data collected during clinical visits can identify patients at high-risk for cardiometabolic disease (CMD) residing in public housing.
DESIGN
This study examined CMD and related risk factors among patients living in public housing and a comparison group not living in public housing.
SETTING
All patients (n=173,568) were receiving primary care in a large hospital system in the Bronx, New York between January 1, 2016 and December 31, 2017.
RESULTS
Patients in public housing were more likely to be women, to be Black or Hispanic, and to be on Medicaid compared with patients not living in public housing. Women in public housing were more likely than men to have had a higher prevalence of CMD and related risk factors.
CONCLUSION
The burden of CMD among public housing residents shows sex disparities where women have a higher prevalence of CMD and related risk factors than men.
目的
住房状况是健康的一个主要社会决定因素，但通常不会在临床环境中收集。在临床就诊期间收集的居住地址数据可以识别出居住在公共住房中的患有心血管代谢疾病（CMD）的高危患者。
设计
本研究调查了居住在公共住房中的患者和未居住在公共住房中的对照组患者的 CMD 及相关风险因素。
设置
2016 年 1 月 1 日至 2017 年 12 月 31 日期间，所有患者（n=173568）均在纽约布朗克斯区一家大型医院系统接受初级护理。
结果
与未居住在公共住房的患者相比，居住在公共住房中的患者更有可能是女性、黑人或西班牙裔，并且更有可能参加医疗补助计划。与男性相比，居住在公共住房中的女性更有可能患有更高比例的 CMD 和相关风险因素。
结论
公共住房居民的 CMD 负担显示出性别差异，女性患有 CMD 和相关风险因素的比例高于男性。
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