VARIATIONS IN ASTHMA HOSPITALIZATIONS AND DEATHS IN NEW-YORK-CITY
VARIATIONS IN ASTHMA HOSPITALIZATIONS AND DEATHS IN NEW-YORK-CITY
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DOI：
10.2105/ajph.82.1.59
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发表时间：
1992-01-01
影响因子：
12.7
通讯作者：
WEISS, K
中科院分区：
文献类型：
--
作者：
CARR, W;ZEITEL, L;WEISS, K
背景 最近的报告已经确定纽约市的哮喘死亡率大大高于基于美国比率的预期。 本研究调查了纽约市的哮喘发病率和死亡率问题。 研究了0 - 34岁人群哮喘住院（1982 - 1986）和死亡（1982 - 1987）的数据。 描述性和多变量技术被用来检查亚组之间和跨地理区域的比率差异。 年平均住院率为39.2/10 000;死亡率为1.2/10万。 黑人和西班牙裔的住院率和死亡率是白人的3至5.5倍。 住院率和死亡率存在很大的地理差异。 哮喘住院率和死亡率高度相关（r = 0.67），最高的比率集中在城市最贫穷的社区。 家庭收入、黑人人口比例和西班牙裔人口比例是地区住院率的显著预测因素（调整后R2 = 0.75）。 这些研究结果为重点调查哮喘结果变化的原因和有针对性的干预措施提供了基础，以减少贫困和少数民族人口不成比例的发病率和死亡率。
Background. Recent reports have identified New York City as having asthma mortality rates that are substantially higher than expected based on US rates. This study investigates the problems of asthma morbidity and mortality in New York City.Methods. Data on asthma hospitalizations (1982 to 1986) and deaths (1982 to 1987) among persons aged 0 to 34 years were studied. Descriptive and multivariate techniques were used to examine differences in rates among subgroups and across geographic areas.Results. The average annual hospitalization rate was 39.2 per 10 000; the mortality rate was 1.2 per 100 000. Hospitalization and death rates among Blacks and Hispanics were 3 to 5.5 times those of Whites. Large geographic variations in hospitalizations and mortality occurred. Asthma hospitalization and mortality rates were highly correlated (r = .67), with the highest rates concentrated in the city's poorest neighborhoods. Household income, percentage of population Black, and percentage of population Hispanic were significant predictors of area hospitalization rates (adjusted R2 = .75).Conclusion. These findings provide a basis for focusing investigations of the causes of variations in asthma outcomes and targeting interventions to reduce the disproportionate morbidity and mortality borne by poor and minority populations.