Disparities in Infectious Disease Hospitalizations for American Indian/Alaska Native People
Disparities in Infectious Disease Hospitalizations for American Indian/Alaska Native People
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DOI：
10.1177/003335491112600407
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发表时间：
2011-07-01
影响因子：
3.3
通讯作者：
Cheek, James E.
中科院分区：
文献类型：
--
作者：
Holman, Robert C.;Folkema, Arianne M.;Cheek, James E.
目标。我们描述了美国印第安人/阿拉斯加原住民（Al/AN）在传染病（ID）住院方面的差异。我们分析了1998-2006年印度卫生服务国家患者信息报告系统中列出的首次出院诊断的Al/ an患者的住院情况，并将其与美国全国住院患者调查的一般人口记录进行了比较。在研究期间，Al/AN人群的ID住院率有所下降。2004-2006年，经年龄调整的艾滋病/艾滋病患者平均年住院率（每10万人中有1,708人）略高于美国人口（每10万人中有1,610人）。Al/AN人群的发病率在西南地区（每10万人中有2314人）、阿拉斯加（每10万人中有2063人）和北部平原西部地区（每10万人中有1957人）以及婴儿中（每10万人中有9315人）最高。身份证住院约占所有人工智能/人工智能住院的22%。下呼吸道感染占Al/AN患者ID住院的最大比例（35%），其次是皮肤和软组织感染（19%），肾脏、泌尿道和膀胱感染（11%）。尽管Al/AN人群的ID住院率有所下降，但仍高于美国一般人群，在西南、北部平原西部和阿拉斯加地区最高。下呼吸道感染;皮肤和软组织感染；肾脏、泌尿道和膀胱感染是造成这些健康差异的主要原因。未来的预防战略应侧重于高风险地区和年龄组，以及导致健康差距的疾病。
Objectives. We described disparities in infectious disease (ID) hospitalizations for American Indian/Alaska Native (Al/AN) people.Methods. We analyzed hospitalizations with an ID listed as the first discharge diagnosis in 1998-2006 for Al/AN people from the Indian Health Service National Patient Information Reporting System and compared them with records for the general U.S. population from the Nationwide Inpatient Survey.Results. The ID hospitalization rate for Al/AN people declined during the study period. The 2004-2006 mean annual age-adjusted ID hospitalization rate for Al/AN people (1,708 per 100,000 populiation) was slightly higher than that for the U.S. population (1,610 per 100,000 population). The rate for Al/AN people was highest in the Southwest (2,314 per 100,000 population), Alaska (2,063 per 100,000 population), and Northern Plains West (1,957 per 100,000 population) regions, and among infants (9,315 per 100,000 population). ID hospitalizations accounted for approximately 22% of all Al/AN hospitalizations. Lower-respiratory-tract infections accounted for the largest proportion of ID hospitalizations among Al/AN people (35%) followed by skin and soft tissue infections (19%), and infections of the kidney, urinary tract, and bladder (11%).Conclusions. Although the ID hospitalization rate for Al/AN people has declined, it remains higher than that for the U.S. general population, and is highest in the Southwest, Northern Plains West, and Alaska regions. Lower-respiratory-tract infections; skin and soft tissue infections; and kidney, urinary tract, and bladder infections contributed most to these health disparities. Future prevention strategies should focus on high-risk regions and age groups, along with illnesses contributing to health disparities.