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社会解体风险指标与躯体急诊科使用之间关系的生态学研究

An ecological study of the relationship between risk indicators for social disintegration and use of a somatic emergency department.

作者信息

Andrén K G, Rosenqvist U

机构信息

Department of Social Work, St Göran's Hospital, Stockholm, Sweden.

出版信息

Soc Sci Med. 1987;25(10):1121-7. doi: 10.1016/0277-9536(87)90353-4.

DOI:10.1016/0277-9536(87)90353-4
PMID:3686077
Abstract

During the last decade a number of studies have been dedicated to the relationship between social support and ill health. In this study the relationship between risk indicators for social disintegration in defined geographical areas and the utilization of a hospital somatic Emergency Department (ED) by the inhabitants of these areas was analyzed. Six socio-demographic variables were used as risk indicators for social disintegration. To measure illness behaviour a register of 57,481 ED visits, made by 34,915 individuals, to the General Adult ED at St Göran's Hospital was utilized. The proportions of immigrants, of adult unemployed and of persons moving into the areas were significantly related to the illness behaviour of seeking care at the ED. The results also showed a significant correlation between the sum of the six risk indicators and use of ED services for three of the four studied subgroups.

摘要

在过去十年中,许多研究致力于社会支持与健康不佳之间的关系。在本研究中,分析了特定地理区域内社会解体风险指标与这些区域居民对医院躯体急诊科(ED)的利用情况之间的关系。六个社会人口学变量被用作社会解体的风险指标。为了衡量疾病行为,利用了由34915人进行的57481次到圣戈兰医院普通成人急诊科就诊的记录。移民、成年失业者和迁入该地区的人员比例与到急诊科寻求治疗的疾病行为显著相关。结果还显示,在四个研究亚组中的三个亚组中,六个风险指标的总和与急诊科服务的使用之间存在显著相关性。

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