Rural-urban health disparities for mood disorders and obesity in a midwestern community.
Rural-urban health disparities for mood disorders and obesity in a midwestern community.
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中西部社区中情绪障碍和肥胖的农村健康差异。
DOI：
10.1017/cts.2020.27
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发表时间：
2020-03-24
影响因子：
2.6
通讯作者：
Pignolo RJ
中科院分区：
文献类型：
--
作者：
Patten CA;Juhn YJ;Ryu E;Wi CI;King KS;Bublitz JT;Pignolo RJ
先前的研究表明，与城市居民相比，农村居民肥胖的疾病负担更大，但基于地理位置的情绪障碍没有差异。最近的注意力集中在需要审查疾病负担方面的区域城乡差异。我们关注明尼苏达州罗切斯特的马约诊所转化科学奖中心服务的明尼苏达州东南部三个县的情绪障碍和肥胖患病率，因为这些是社区健康需求评估中确定的首要任务。一项横断面研究，旨在评估城乡地区与5年（2009-2014年）心境障碍和肥胖患病率之间的关联，该研究使用罗切斯特流行病学项目病历链接系统，于2014年4月1日在居住在三个城乡混合县的受试者中获得。多变量分析调整人口统计学，社会经济地位，使用个人住房为基础的措施，县。研究队列（农村地区百分比）包括奥姆斯特德的91，202（15%），道奇的10，197（51%）和瓦巴沙县的10，184（57%）。在多变量分析中，调整混杂因素后，城市居民的5年心境障碍和肥胖患病率显著高于农村居民;比值比（95%置信区间）分别为：1.21（1.17-1.26），P < 0.001和1.05（1.01-1.10），P = 0.016。在针对医疗保健利用（HCU; ≥1次一般医学检查访视和流感疫苗接种）调整的其他模型中，未修改观察到的效应。在中西部社区，城乡之间情绪障碍和肥胖负担的健康差异与社会经济地位和HCU无关。重要的是要评估潜在的区域异质性的城乡差异的健康结果。
Prior studies indicate greater disease burden for obesity among rural compared with urban residents but no differences for mood disorder based on geographic location. Recent attention has focused on the need to examine regional rural–urban disparities in disease burden. We focused on mood disorders and obesity prevalence within three southeastern Minnesota counties served by the Mayo Clinic Center for Translational Science Award, in Rochester, Minnesota, as these were top priorities identified in community health needs assessments. Cross-sectional study to assess the association of rural–urban locality on 5-year (2009–2014) prevalence of mood disorder and obesity obtained using the Rochester Epidemiological Project medical records linkage system, among subjects residing in three mixed rural–urban counties on April 1, 2014. Multivariable analyses adjusted for demographics, socioeconomic status using an individual housing-based measure, and counties. The study cohort (percent rural location) included 91,202 (15%) for Olmsted, 10,197 (51%) in Dodge, and 10,184 (57%) in Wabasha counties. On multivariate analysis, 5-year prevalence of mood disorders and obesity was significantly greater for urban compared with rural residents, after adjusting for confounders; odds ratios (95% confidence intervals): 1.21 (1.17–1.26), P < 0.001, and 1.05 (1.01–1.10), P = 0.016, respectively. Observed effects were not modified in additional models adjusted for health care utilization (HCU; ≥1 general medical examination visit and flu vaccination). Rural–urban health disparities for burden of mood disorders and obesity are independent of socioeconomic status and HCU in a Midwestern community. It is important to assess potential regional heterogeneity of rural–urban disparities on health outcomes.
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DOI：
10.1111/j.1748-0361.2012.00411.x
发表时间：
2012
期刊：
The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
影响因子：
--
作者：
Befort CA;Nazir N;Perri MG
通讯作者：
Perri MG
在预测自我评价健康方面的房屋指数的两县比较。
影响因子：
6.3
作者：
Butterfield MC;Williams AR;Beebe T;Finnie D;Liu H;Liesinger J;Sloan J;Wheeler PH;Yawn B;Juhn YJ
通讯作者：
Juhn YJ
影响因子：
2.8
作者：
Anderson TJ;Saman DM;Lipsky MS;Lutfiyya MN
通讯作者：
Lutfiyya MN
影响因子：
4
作者：
Lutfiyya, May Nawal;McCullough, Joel Emery;Lipsky, Martin Stephen
通讯作者：
Lipsky, Martin Stephen
影响因子：
120.7
作者：
Hales, Craig M.;Fryar, Cheryl D.;Ogden, Cynthia L.
通讯作者：
Ogden, Cynthia L.