Disparities of Shigellosis Rates among California Children by Race/Ethnicity and Census Tract Poverty Level, 2000-2010
Disparities of Shigellosis Rates among California Children by Race/Ethnicity and Census Tract Poverty Level, 2000-2010
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DOI：
10.1097/inf.0000000000000746
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发表时间：
2015-08-01
影响因子：
3.6
通讯作者：
Vugia, Duc
中科院分区：
文献类型：
--
作者：
Jackson, Rebecca;Smith, Daniel;Vugia, Duc
背景资料：我们检查了监测数据的差距，在儿童中的人口普查区（CT）的贫困水平和种族/ethnicationsin加州。方法：我们地理编码的地址9740名儿童年龄小于15岁，从2000年至2010年加州志贺菌病监测数据，并计算发病率（IR）每10万人的年龄组和种族/ethnications. Methods。我们将地理编码病例与2006-2010年美国社区调查CT级贫困数据联系起来，并使用IR比率将最贫困CT中的儿童与最不贫困CT中的儿童进行比较。社会经济不平等的贡献，年龄标准化的种族和民族的差距进行了探讨，使用Poisson regression.Results：每10万人口，志贺氏菌病IR是最高的加州儿童小于5岁（16.4）和西班牙裔（15.2）。在超过40%的人口处于贫困线以下的CTs中，年龄标准化IR为22.3/100，000人年，在低于贫困线的人口少于5%的CTs中为4.1/100，000人年，IR比率为5.8结论：加州儿童的志贺氏菌病发病率在西班牙裔美国人中最高，并且随着CT贫困而增加。
Background: We examined surveillance data for disparities in shigellosis rates among children by census tract (CT) poverty level and race/ethnicity in California.Methods: We geocoded addresses of 9740 children younger than 15 years of age from 2000-2010 California shigellosis surveillance data and calculated incidence rate (IR) per 100,000 population by age group and race/ethnicity. We linked geocoded cases to 2006-2010 American Community Survey CT-level poverty data and used IR ratios to compare children in the most impoverished CTs with those in the least impoverished CTs. The contribution of socioeconomic inequalities to age-standardized racial and ethnic disparities was explored using Poisson regression.Results: Per 100,000 population, shigellosis IR was highest among California children less than 5 years old (16.4) and of Hispanic ethnicity (15.2). The age-standardized IR was 22.3 per 100,000 person-years in CTs with more than 40% of the population below the poverty line and 4.1 per 100,000 person-years in CTs with less than 5% of the population below the poverty line, an IR ratio of 5.8 (95% confidence interval: 5.2, 6.5).Conclusions: Shigellosis rates among California children were highest among Hispanics and increased with CT poverty.