Assessing hearing health inequalities using routine health information systems.

IF 2.3 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Dialechti Tsimpida, Roberta Piroddi, Konstantinos Daras, Gabriella Melis
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引用次数: 0

Abstract

Hearing loss is a significant public health challenge, with prevalence estimates based on projected age demographics rather than actual public health needs. This study aimed to quantify hearing loss using real-world data from primary care and explore local patterns and trends from 2013 to 2022 in Cheshire and Merseyside counties of Northwest England. Annual hearing loss prevalence was measured using an ecological space-time analysis of 2.7 million primary care records from Cheshire and Merseyside Integrated Care System. We applied cluster and outlier analysis with geographically weighted regression to examine local deprivation effects. We detected spatial clusters of high prevalence of hearing loss in Cheshire and an increasing trend in hearing loss prevalence in Halton. Deprivation accounted for up to 35% of hearing loss variance in 2020. Monitoring spatial patterns of hearing loss is crucial for addressing health inequalities and guiding targeted prevention and intervention strategies.

使用常规卫生信息系统评估听力卫生不平等。
听力损失是一项重大的公共卫生挑战,其流行率估计基于预测的年龄人口统计数据,而不是实际的公共卫生需求。本研究旨在利用来自初级保健的真实数据量化听力损失,并探索2013年至2022年英格兰西北部柴郡和默西塞德郡的当地模式和趋势。通过对柴郡和默西塞德综合护理系统270万份初级保健记录的生态时空分析,测量了年度听力损失患病率。我们采用地理加权回归的聚类分析和离群分析来检验局部剥夺效应。我们在柴郡发现了高听力损失患病率的空间集群,在霍尔顿发现了听力损失患病率上升的趋势。2020年,听力丧失占听力损失方差的35%。监测听力损失的空间格局对于解决卫生不平等问题和指导有针对性的预防和干预战略至关重要。
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 Public Health Policy
Journal of Public Health Policy 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.70
自引率
2.60%
发文量
62
审稿时长
>12 weeks
期刊介绍: The Journal of Public Health Policy (JPHP) will continue its 35 year tradition: an accessible source of scholarly articles on the epidemiologic and social foundations of public health policy, rigorously edited, and progressive. JPHP aims to create a more inclusive public health policy dialogue, within nations and among them. It broadens public health policy debates beyond the ''health system'' to examine all forces and environments that impinge on the health of populations. It provides an exciting platform for airing controversy and framing policy debates - honing policies to solve new problems and unresolved old ones. JPHP welcomes unsolicited original scientific and policy contributions on all public health topics. New authors are particularly encouraged to enter debates about how to improve the health of populations and reduce health disparities.
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