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少数民族健康社会脆弱性指数得分、农村地区与荚膜组织胞浆菌病发病率的关系：8 个美国州。

Associations between Minority Health Social Vulnerability Index Scores, Rurality, and Histoplasmosis Incidence, 8 US States.

出版信息

Emerg Infect Dis. 2024 Oct;30(10):2016-2024. doi: 10.3201/eid3010.231700.

DOI:10.3201/eid3010.231700
PMID:39320144
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11431912/
Abstract

To explore associations between histoplasmosis and race and ethnicity, socioeconomic status, and rurality, we conducted an in-depth analysis of social determinants of health and histoplasmosis in 8 US states. Using the Minority Health Social Vulnerability Index (MH SVI), we analyzed county-level histoplasmosis incidence (cases/100,000 population) from the 8 states by applying generalized linear mixed hurdle models. We found that histoplasmosis incidence was higher in counties with limited healthcare infrastructure and access as measured by the MH SVI and in more rural counties. Other social determinants of health measured by the MH SVI tool either were not significantly or were inconsistently associated with histoplasmosis incidence. Increased awareness of histoplasmosis, more accessible diagnostic tests, and investment in rural health services could address histoplasmosis-related health disparities.

摘要

为了探究组织胞浆菌病与种族、民族、社会经济地位和农村地区之间的关联，我们在美国的 8 个州深入分析了健康和组织胞浆菌病的社会决定因素。我们使用少数民族健康社会脆弱性指数（MH SVI），通过应用广义线性混合障碍模型，根据 8 个州的县级组织胞浆菌病发病率（每 10 万人中的病例数）进行了分析。我们发现，组织胞浆菌病发病率在 MH SVI 衡量的医疗基础设施和获取受限的县以及农村县更高。MH SVI 工具衡量的其他健康社会决定因素与组织胞浆菌病发病率要么没有显著关联，要么关联不一致。提高对组织胞浆菌病的认识、更易获得诊断检测以及对农村卫生服务的投资，可以解决与组织胞浆菌病相关的健康差异问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f16/11431912/877763491d9a/23-1700-F6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f16/11431912/0f951547dae0/23-1700-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f16/11431912/86117b4dd35e/23-1700-F2.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f16/11431912/4ab04e72d4e9/23-1700-F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f16/11431912/da62379046f8/23-1700-F5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f16/11431912/877763491d9a/23-1700-F6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f16/11431912/0f951547dae0/23-1700-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f16/11431912/86117b4dd35e/23-1700-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f16/11431912/6b654ef44c19/23-1700-F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f16/11431912/4ab04e72d4e9/23-1700-F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f16/11431912/da62379046f8/23-1700-F5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f16/11431912/877763491d9a/23-1700-F6.jpg

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