Racial disparities in exposure, susceptibility, and access to health care in the US H1N1 influenza pandemic.
Racial disparities in exposure, susceptibility, and access to health care in the US H1N1 influenza pandemic.
复制标题
在美国H1N1流感大流行中，暴露，敏感性和获得医疗保健的种族差异。
DOI：
10.2105/ajph.2009.188029
复制
发表时间：
2011-02
影响因子：
12.7
通讯作者：
Kidwell K
中科院分区：
文献类型：
--
作者：
Quinn SC;Kumar S;Freimuth VS;Musa D;Casteneda-Angarita N;Kidwell K
我们对H1N1流感大流行期间H1N1暴露、H1N1并发症易感性和获得医疗保健的差异进行了首次实证研究。我们从6万多个美国家庭中抽取样本进行了一项具有全国代表性的调查。我们分析了1479名成年人的回答，其中包括大量的黑人和西班牙裔。该调查询问受访者对公共卫生建议施加社会距离的能力，他们的慢性健康状况以及他们获得医疗保健的机会。暴露于H1N1的风险与种族和民族显著相关。讲西班牙语的西班牙裔人接触H1N1的风险最大，但对H1N1并发症的敏感性较低。在控制其他人口因素后，讲西班牙语的拉美裔人在获得医疗保健方面的差距仍然很大。我们使用基于慢性病患病率的措施来确定黑人最容易患H1N1并发症。我们发现，H1N1流感的潜在风险存在明显的种族/民族差异。暴露风险、易感性（特别是对严重疾病的易感性）和获得保健的机会方面的差异可能相互作用，加剧现有的健康不平等，并导致这些人群发病率和死亡率的增加。
We conducted the first empirical examination of disparities in H1N1 exposure, susceptibility to H1N1 complications, and access to health care during the H1N1 influenza pandemic. We conducted a nationally representative survey among a sample drawn from more than 60000 US households. We analyzed responses from 1479 adults, including significant numbers of Blacks and Hispanics. The survey asked respondents about their ability to impose social distance in response to public health recommendations, their chronic health conditions, and their access to health care. Risk of exposure to H1N1 was significantly related to race and ethnicity. Spanish-speaking Hispanics were at greatest risk of exposure but were less susceptible to complications from H1N1. Disparities in access to health care remained significant for Spanish-speaking Hispanics after controlling for other demographic factors. We used measures based on prevalence of chronic conditions to determine that Blacks were the most susceptible to complications from H1N1. We found significant race/ethnicity-related disparities in potential risk from H1N1 flu. Disparities in the risks of exposure, susceptibility (particularly to severe disease), and access to health care may interact to exacerbate existing health inequalities and contribute to increased morbidity and mortality in these populations.