Appiah Duke, Kamrudin Samira, de Riese Cornelia
Department of Public Health, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA.
Department of Obstetrics & Gynecology, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA.
J Clin Med. 2023 Jan 28;12(3):993. doi: 10.3390/jcm12030993.
Testing for vitamin D deficiency (VDD) has been on the increase due to its association with several diseases. However, inappropriate testing for VDD, defined as screening for VDD among individuals with a low risk, has been reported. The aim of this study was to evaluate the prevalence and factors associated with potentially inappropriate screening for VDD among medically underserved populations in West Texas. Data were from 21,407 women who were hospitalized from 2016 to 2018 at a large regional health system. Logistic regression was used to calculate odds ratios (ORs) and 95% confidence intervals (CIs). The median age of patients was 40 years. While the proportion of patients tested for VDD reduced from 8.9% to 7.6% ( = 0.013) from 2016 to 2018, the prevalence of inappropriate testing increased from 32.3% to 46.8% ( < 0.001), with the 3-year prevalence of VDD being 27.6%. White race (OR = 2.71, CI: 1.95-3.78), an age ≥ 65 years (OR = 3.07, CI: 2.05-4.59), the use of public-sponsored insurance (OR = 1.62, CI: 1.20-2.17), cardiovascular disease (OR = 0.75, CI: 0.63-0.90), and vitamin D supplement use (OR = 7.05, CI: 5.82-8.54) were associated with inappropriate testing for VDD. In this study, an increasing prevalence of potentially inappropriate testing for VDD was observed. Sociodemographic and health-related conditions were associated with potentially inappropriate testing for VDD.
由于维生素D缺乏症（VDD）与多种疾病相关，对其进行检测的情况一直在增加。然而，已有报告称存在对VDD的不恰当检测，即对低风险个体进行VDD筛查。本研究的目的是评估西德克萨斯州医疗服务不足人群中VDD潜在不恰当筛查的患病率及相关因素。数据来自2016年至2018年在一个大型区域卫生系统住院的21407名女性。采用逻辑回归计算比值比（OR）和95%置信区间（CI）。患者的中位年龄为40岁。虽然2016年至2018年检测VDD的患者比例从8.9%降至7.6%（P = 0.013），但不恰当检测的患病率从32.3%升至46.8%（P < 0.001），VDD的3年患病率为27.6%。白人种族（OR = 2.71，CI：1.95 - 3.78）、年龄≥65岁（OR = 3.07，CI：2.05 - 4.59）、使用公共资助保险（OR = 1.62，CI：1.20 - 2.17）、心血管疾病（OR = 0.75，CI：0.63 - 0.90）以及使用维生素D补充剂（OR = 7.05，CI：5.82 - 8.54）与VDD的不恰当检测相关。在本研究中，观察到VDD潜在不恰当检测的患病率在增加。社会人口统计学和健康相关状况与VDD潜在不恰当检测相关。
