Chronic disease prevalence and preventive care among Ontario social housing residents compared with the general population: a population-based cohort study.

IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Gina Agarwal, Homa Keshavarz, Ricardo Angeles, Melissa Pirrie, Francine Marzanek, Francis Nguyen, Jasdeep Brar, J Michael Paterson
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引用次数: 0

Abstract

Background: Older adults living in social housing report poor health and access to healthcare services. This study aimed to estimate the prevalence of chronic diseases, influenza vaccination and cancer screenings among social housing residents versus non-residents in Ontario, Canada.

Methods: We conducted a population-based cohort study for all health-insured Ontarians alive and aged 40 or older as of 1 January 2020. Social housing residents were identified using postal codes. Validated health administrative data case definitions were used to identify individuals with diabetes, hypertension, chronic obstructive pulmonary disease, asthma, congestive heart failure and cardiovascular disease. Influenza vaccination and mammography, Pap and colorectal cancer screenings were identified among screen-eligible residents using health administrative data.

Results: The prevalence of all chronic diseases was higher among social housing residents across all age groups: 40-59, 60-79 and 80+ years. Influenza vaccination rates in 2018-2019 were lower among social housing residents aged 60-79 and 80+ years. Mammography rates for women aged 50-69 years in 2018-2019 were 10-11% lower among social housing residents across all age groups compared with non-residents. Pap screening rates for women aged 40-69 in 2018-2019 were 6-8% lower among social housing residents. The percentage of colorectal screening in both women and men aged 52-74 was lower (9-10% in men and 6-7% in women) in social housing compared with the general population in 2019-2020.

Conclusion: There is a higher prevalence of chronic diseases and lower cancer screening rates among the growing population of older adults in social housing in Ontario, Canada.

安大略省社会住房居民与普通人群的慢性病患病率和预防保健:一项基于人群的队列研究。
背景:生活在社会住房中的老年人报告健康状况和获得医疗保健服务的机会较差。本研究旨在估计加拿大安大略省社会住房居民与非居民之间慢性疾病、流感疫苗接种和癌症筛查的患病率。方法:我们对截至2020年1月1日年龄在40岁或以上的所有健康保险安大略省居民进行了一项基于人群的队列研究。社会住房居民的身份是用邮政编码确定的。使用经过验证的健康管理数据病例定义来识别患有糖尿病、高血压、慢性阻塞性肺病、哮喘、充血性心力衰竭和心血管疾病的个体。流感疫苗接种、乳房x光检查、巴氏涂片和结直肠癌筛查是根据卫生管理数据在符合筛查条件的居民中确定的。结果:在40-59岁、60-79岁和80岁以上的所有年龄组中,所有慢性疾病的患病率都较高。2018-2019年,60-79岁和80岁以上的社会住房居民的流感疫苗接种率较低。2018-2019年,所有年龄段的社会住房居民中50-69岁女性的乳房x光检查率比非居民低10-11%。2018-2019年,社会住房居民中40-69岁女性的子宫颈抹片筛查率低6-8%。2019-2020年,与普通人群相比,社会住房中52-74岁女性和男性的结直肠筛查比例(男性为9-10%,女性为6-7%)较低。结论:在加拿大安大略省,社会住房中不断增长的老年人中,慢性病患病率较高,癌症筛查率较低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Epidemiology and Community Health
Journal of Epidemiology and Community Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
11.10
自引率
0.00%
发文量
100
审稿时长
3-6 weeks
期刊介绍: The Journal of Epidemiology and Community Health is a leading international journal devoted to publication of original research and reviews covering applied, methodological and theoretical issues with emphasis on studies using multidisciplinary or integrative approaches. The journal aims to improve epidemiological knowledge and ultimately health worldwide.
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