Increased influenza-related healthcare utilization by residents of an urban aboriginal community.
Increased influenza-related healthcare utilization by residents of an urban aboriginal community.
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DOI：
10.1017/s0950268810003109
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发表时间：
2011-12
影响因子：
4.2
通讯作者：
Buckeridge, D. L.
中科院分区：
文献类型：
--
作者：
Charland, K. M.;Brownstein, J. S.;Verma, A.;Brewer, T.;Jones, S.;Hoen, A. Gatewood;Buckeridge, D. L.
关键词：
大多数描述原住民急性呼吸道疾病高发率的研究都集中在农村或偏远社区。假设的原因包括社会经济匮乏、获得医疗保健的机会有限以及慢性病的高患病率。为了评估原住民社区的流感发病率，同时考虑医疗保健可及性、贫困和慢性病患病率，我们将城市莫霍克保留地 (Kahnawá:ke) 的流感相关门诊和急诊就诊率与生活条件相当的邻近地区的比率进行比较，然后将分析限制在慢性病患病率较低的亚人群，即年龄 <20 岁的人群。我们利用 1996 年至 2006 年的医疗账单索赔估算了年龄-性别标准化费率比率。 Kahnawá:ke 的这一比例比邻近地区高出 58%，在对年龄 <20 岁的人群进行分析时，这一比例高出 98%。尽管社会经济条件和医疗保健条件相对有利，但 Kahnawá:ke 与流感相关的就诊率有所上升，特别是在较年轻的年龄组中。
Most studies describing high rates of acute respiratory illness in aboriginals have focused on rural or remote communities. Hypothesized causes include socioeconomic deprivation, limited access to healthcare, and a high prevalence of chronic disease. To assess influenza rates in an aboriginal community while accounting for healthcare access, deprivation and chronic disease prevalence, we compared rates of influenza-related outpatient and emergency-department visits in an urban Mohawk reserve (Kahnawá:ke) to rates in neighbouring regions with comparable living conditions and then restricted the analysis to a sub-population with a low chronic disease prevalence, i.e. those aged <20 years. Using medical billing claims from 1996 to 2006 we estimated age-sex standardized rate ratios. The rate in Kahnawá:ke was 58% greater than neighbouring regions and 98% greater in the analysis of those aged <20 years. Despite relatively favourable socioeconomic conditions and healthcare access, rates of influenza-related visits in Kahnawá:ke were elevated, particularly in the younger age groups.