Avoidable hospitalizations among racialized groups in Canada: Results from the 2016 Canadian Census Health and Environment Cohort.

IF 2.7 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Anita Brobbey, Vijata Sharma, Maegan Mazereeuw
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引用次数: 0

Abstract

Background: Ambulatory care sensitive conditions (ACSCs) are illnesses that can be effectively treated and managed in primary care settings. Hospitalizations for ACSCs are therefore considered avoidable and may indicate poor access to quality primary care. This study examined trends in avoidable hospitalizations in Canada among racialized groups.

Data and methods: The 2016 Canadian Census Health and Environment Cohort was used to estimate annual age-standardized hospitalization rates (ASHRs) for ACSCs among people aged 10 to 74 from 2016/2017 to 2021/2022. ASHRs were disaggregated by sex and racialized group. Rate ratios (RRs) and 95% confidence intervals (CIs) were calculated to assess relative inequality. Logistic regression models were run, adjusting for age, sex, immigrant status, household income, and education.

Results: Across all study years, the odds of avoidable hospitalizations were significantly higher among males, Black people, and non-immigrants, and significantly lower among Chinese people and people in the category "other racialized groups not included elsewhere." In 2020/2021, during the COVID-19 pandemic, RRs for Black females compared with non-racialized females decreased (2019/2020: RR=1.12, 95% CI=1.07 to 1.61; 2020/2021: RR=0.99, 95% CI=0.94 to 1.04), while they significantly increased for Black males compared with non-racialized males (2019/2020: RR=1.30, 95% CI=1.25 to 1.35; 2020/2021: RR=1.63, 95% CI=1.41 to 1.88).

Interpretation: This study reveals inequalities in avoidable hospitalizations in Canada, pronounced for the Black population compared with the non-racialized population, especially during the pandemic (2020/2021 and 2021/2022). Future studies examining the factors driving these inequalities (e.g., access to primary care, most prevalent conditions, geography) may inform targeted interventions.

加拿大种族化群体中可避免的住院:来自2016年加拿大人口普查健康与环境队列的结果
背景:门诊敏感条件(ACSCs)是可以在初级保健机构有效治疗和管理的疾病。因此,acsc的住院治疗被认为是可以避免的,并可能表明难以获得高质量的初级保健。这项研究调查了加拿大种族化群体中可避免的住院趋势。数据和方法:使用2016年加拿大人口普查健康与环境队列来估计2016/2017年至2021/2022年10至74岁人群中ACSCs的年年龄标准化住院率(ASHRs)。ashr按性别和种族分类。计算比率比(rr)和95%置信区间(ci)来评估相对不平等。运行Logistic回归模型,调整年龄、性别、移民身份、家庭收入和教育程度。结果:在所有的研究年份中,男性、黑人和非移民中可避免住院的几率明显更高,而中国人和“其他未包括在其他地方的其他种族群体”中的几率明显更低。在2020/2021年COVID-19大流行期间,与非种族化女性相比,黑人女性的RR下降(2019/2020年:RR=1.12, 95% CI=1.07至1.61;2020/2021: RR=0.99, 95% CI=0.94 ~ 1.04),而黑人男性与非种族化男性相比显著增加(2019/2020:RR=1.30, 95% CI=1.25 ~ 1.35;2020/2021: RR=1.63, 95% CI=1.41 ~ 1.88)。解释:本研究揭示了加拿大黑人与非种族化人口在可避免住院方面的不平等,特别是在大流行期间(2020/2021和2021/2022)。未来对导致这些不平等的因素(例如,获得初级保健、最普遍的疾病、地理位置)的研究可能会为有针对性的干预措施提供信息。
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
Health Reports
Health Reports PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.30
自引率
4.00%
发文量
28
期刊介绍: Health Reports publishes original research on diverse topics related to understanding and improving the health of populations and the delivery of health care. We publish studies based on analyses of Canadian national/provincial representative surveys or Canadian national/provincial administrative databases, as well as results of international comparative health research. Health Reports encourages the sharing of methodological information among those engaged in the analysis of health surveys or administrative databases. Use of the most current data available is advised for all submissions.
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