真菌感染与健康的社会决定因素：利用数据识别差异
Fungal Infections and Social Determinants of Health: Using Data to Identify Disparities.
作者信息
Williams Samantha L, Benedict Kaitlin, Toda Mitsuru
机构信息
Mycotic Diseases Branch, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Mailstop H24-11, Atlanta, GA, USA.
出版信息
Curr Fungal Infect Rep. 2024 Mar;18(2):88-94. doi: 10.1007/s12281-024-00494-4.
PURPOSE OF REVIEW
Fungal diseases disproportionately affect certain demographic populations, but few studies have thoroughly investigated the drivers of those disparities. We summarize data sources that can be considered to explore potential associations between fungal diseases and social determinants of health in the United States.
RECENT FINDINGS
Sociodemographic disparities are apparent in fungal diseases, and social determinants of health (e.g., income, living conditions, and healthcare access) may be associated with increased risk of infection, severe disease, and poor health outcomes.
SUMMARY
Numerous data sources are available in the United States to analyze the potential association between fungal diseases and underlying social determinants of health. Each source has benefits and limitations that should be considered in the development of analysis plans. Inherent challenges to all fungal disease data (e.g., underdiagnosis, underreporting, and inability to detect people who do not seek medical care) should be noted and accounted for in interpretation of results.
综述目的
真菌疾病对某些特定人群的影响尤为严重，但很少有研究深入探究这些差异的驱动因素。我们总结了一些可用于探索美国真菌疾病与健康的社会决定因素之间潜在关联的数据来源。
最新发现
真菌疾病中社会人口统计学差异明显，健康的社会决定因素（如收入、生活条件和医疗保健可及性）可能与感染风险增加、严重疾病及不良健康结局相关。
总结
美国有众多数据来源可用于分析真菌疾病与潜在健康社会决定因素之间的潜在关联。每个来源都有其优缺点，在制定分析计划时应予以考虑。应注意所有真菌疾病数据固有的挑战（如诊断不足、报告不充分以及无法检测未就医的人群），并在结果解读中加以考量。
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