贫穷
入射(几何)
医学
人口学
社会经济地位
环境卫生
人口
经济增长
经济
光学
物理
社会学
作者
Kevin Nguyen,Rebecca Thorsness,Shailender Swaminathan,Rajnish Mehrotra,Rachel E. Patzer,Yoojin Lee,Daeho Kim,Maricruz Rivera‐Hernandez,Amal N. Trivedi
出处
期刊:Health Affairs
[Project Hope]
日期:2021-12-01
卷期号:40 (12): 1900-1908
被引量:6
标识
DOI:10.1377/hlthaff.2021.00458
摘要
National estimates suggest that kidney failure incidence is declining in the US. However, whether this trend is evident in areas with socioeconomic disadvantage is unknown. We examined trends in kidney failure incidence by county-level poverty between 2000 and 2017 and divided the study period into period 1 (2000-05), period 2 (2006-11), and period 3 (2012-17). The magnitude of disparity in kidney failure incidence between high- and low-poverty counties increased from 42.8 more incident cases per million in high-poverty counties in period 1 to 100.1 more in period 3. Despite a national decline, kidney failure incidence increased in high-poverty counties, and disparities between high- and low-poverty counties widened from 2000 to 2017. Achieving the Department of Health and Human Services objective of reducing incident kidney failure cases by 25 percent by 2030 will require focused attention on preventing kidney failure in counties with higher poverty.
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