Akinyemi Oluwasegun, Weldeslase Terhas, Odusanya Eunice, Fasokun Mojisola, Agboola Bukola, Andine Tsion, Ayeni Esther, Michael Miriam, Hughes Kakra
Department of Surgery Outcomes Research Center, Howard University College of Medicine, Washington, DC, United States.
Department of Epidemiology, University of Alabama, Birmingham, AL, United States.
Front Allergy. 2024 Jun 5;5:1381184. doi: 10.3389/falgy.2024.1381184. eCollection 2024.
Asthma represents a substantial public health challenge in the United States, affecting over 25 million adults. This study investigates the impact of neighborhood economic deprivation on asthma-associated Emergency Department (ED) visits in Maryland, using the Distressed Communities Index (DCI) for analysis.
A retrospective analysis of Maryland's Emergency Department Databases from January 2018 to December 2020 was conducted, focusing on asthma-associated ED visits.
The study involved 185,317 ED visits, majority of which were females (56.3%) and non-Hispanic whites (65.2%). A significant association was found between increased neighborhood socioeconomic deprivation and asthma-related ED visits. The poorest neighborhoods showed the highest rates of such visits. Compared to prosperous areas, neighborhoods classified from Comfortable to Distressed had progressively higher odds for asthma-related ED visits (Comfortable: OR = 1.14, Distressed OR = 1.65). Other significant asthma predictors included obesity, female gender, tobacco smoking, and older age.
There is a substantive association between higher asthma-related ED visits and high neighborhood economic deprivation, underscoring the impact of socioeconomic factors on health outcomes.
Addressing healthcare disparities and improving access to care in economically distressed neighborhoods is crucial. Targeted interventions, such as community health clinics and asthma education programs, can help mitigate the impact of neighborhood disadvantage.
哮喘是美国一项重大的公共卫生挑战，影响着超过2500万成年人。本研究使用困境社区指数（DCI）进行分析，调查马里兰州社区经济贫困对哮喘相关急诊就诊的影响。
对2018年1月至2020年12月马里兰州的急诊数据库进行回顾性分析，重点关注哮喘相关的急诊就诊情况。
该研究涉及185317次急诊就诊，其中大多数为女性（56.3%）和非西班牙裔白人（65.2%）。研究发现社区社会经济贫困加剧与哮喘相关急诊就诊之间存在显著关联。最贫困的社区此类就诊率最高。与繁荣地区相比，从舒适到困境分类的社区哮喘相关急诊就诊的几率逐渐升高（舒适：OR = 1.14，困境：OR = 1.65）。其他显著的哮喘预测因素包括肥胖、女性性别、吸烟和年龄较大。
哮喘相关急诊就诊率较高与社区经济高度贫困之间存在实质性关联，凸显了社会经济因素对健康结果的影响。
解决医疗保健差距并改善经济困境社区的就医机会至关重要。有针对性的干预措施，如社区健康诊所和哮喘教育项目，有助于减轻社区劣势的影响。
