代谢综合征与空间差异:台湾慈济地区社会经济贫困和医疗资源可用性的作用。

The Kaohsiung journal of medical sciences Pub Date : 2024-12-01 Epub Date: 2024-11-14 DOI:10.1002/kjm2.12908
Pei-Hung Su, Jong-Rung Tsai, Wei-Lun Chang, Hui-Min Hsieh
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引用次数: 0

摘要

代谢综合征(MetS)是一个全球关注的健康问题,在空间上存在差异,尤其是在贫困地区。本研究旨在探讨台湾地区社会经济贫困程度、弱势地区(如慈城镇)的医疗资源可用性与代谢综合征患病率之间的关联。我们使用了两个具有代表性的二级横断面数据集,包括 2016 年至 2020 年的体检和生活方式调查,数据来源于台湾生物库和慈济区成人生活方式与健康调查。我们的研究结果表明,居住在以社会经济贫困和医疗资源有限为特征的慈济地区,患 MetS 的几率明显较高(aOR = 1.45,95% CI = 1.28-1.64,p<0.05)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Metabolic syndrome and spatial disparities: The role of socioeconomic deprivation and medical resource availability in the Cijin district, Taiwan.

Metabolic syndrome (MetS) is a global health concern with spatial disparities, especially in disadvantaged neighborhoods. This study aimed to examine the association between area-level socioeconomic deprivation, the availability of medical resources in disadvantaged areas such as the Cijin district, and the prevalence of MetS in Taiwan. We used two representative secondary cross-sectional datasets, including physical examinations and lifestyle surveys from 2016 to 2020, sourced from the Taiwan Biobank and the Cijin District Adult Lifestyle and Health Survey. Our findings indicate that residing in the Cijin district, characterized by socioeconomic deprivation and limited medical resources, is associated with significantly higher odds of MetS (aOR = 1.45, 95% CI = 1.28-1.64, p <0.001). Additionally, living in areas with medium (aOR = 1.12, 95% CI = 1.07-1.17, p <0.001) and high area-level socioeconomic deprivation indexes (aOR = 1.13, 95% CI = 1.01-1.25, p <0.001) is linked to a higher likelihood of MetS. Conversely, residing in high medical resource availability index areas is associated with a lower risk of MetS (aOR = 0.92, 95% CI = 0.86-0.99, p = 0.026). We found a link between socioeconomic deprivation and limited medical resources, especially in disadvantaged areas such as the Cijin district, contributing to a higher MetS risk. Residents in these areas often struggle to access healthcare and preventive care. Addressing these disparities requires comprehensive public health initiatives and targeted policy interventions to improve residents' well-being.

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