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Interstitial Lung Disease Mortality Disparities Along the US-Mexico Border, 1999-2020.
Soin, Sabrina; Ibrahim, Ramzi; Kusupati, Vinita; Sainbayar, Enkhtsogt; Pham, Hoang Nhat; Natt, Bhupinder; Ferreira, João Paulo; Ussavarungsi, Kamonpun; Low, See-Wei.
Afiliação
  • Soin S; Department of Medicine, University of Arizona Tucson, Tucson, AZ.
  • Ibrahim R; Department of Medicine, University of Arizona Tucson, Tucson, AZ. Electronic address: ramzi.ibrahim83@gmail.com.
  • Kusupati V; Department of Medicine, University of Arizona Tucson, Tucson, AZ.
  • Sainbayar E; Department of Medicine, University of Arizona Tucson, Tucson, AZ.
  • Pham HN; Department of Medicine, University of Arizona Tucson, Tucson, AZ.
  • Natt B; Department of Medicine, University of Arizona Tucson, Tucson, AZ; Division of Pulmonary, Allergy, Critical Care and Sleep, Department of Medicine, University of Arizona Tucson, Tucson, AZ.
  • Ferreira JP; Department of Medicine, University of Arizona Tucson, Tucson, AZ.
  • Ussavarungsi K; Division of Pulmonary Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, OH.
  • Low SW; Division of Pulmonary Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, OH.
Chest ; 2024 Jul 18.
Article em En | MEDLINE | ID: mdl-39032859
ABSTRACT

BACKGROUND:

Optimal diagnosis and management of interstitial lung diseases (ILDs) needs access to specialized centers, frequent monitoring, and complex therapeutic options. In underprivileged areas, these necessities can often lead to barriers in delivering care. RESEARCH QUESTION What are the ILD mortality disparities in the regions along the US-Mexico (US-MX) border? STUDY DESIGN AND

METHODS:

We obtained ILD mortality information through death certificate queries from the Centers for Disease Control and Prevention repository. Death data were adjusted for age and stratified by US-MX border regions and nonborder regions in the United States. Log-linear regression models were used to analyze mortality trends in the period from 1999 to 2020 followed by calculation of annual percentage changes (APCs). Age-adjusted mortality rates (AAMRs) were compared across cumulative and subdemographic populations.

RESULTS:

ILD-related mortality among border regions (AAMR, 5.31) was higher than nonborder regions (AAMR, 4.86). Mortality within border regions remained unchanged from 1999 to 2020 (APC, 0.3; P = .269). Nonborder regions experienced a significant rise in mortality rates (APC, 2.6; P = .017) from 1999 to 2005 and remained unchanged from 2005 to 2020. Mortality was higher within both men (AAMR, 6.57) and women (AAMR, 4.36) populations among border regions compared with their nonborder counterparts (AAMR, 6.27 and 3.87, respectively). Hispanic populations among the border regions experienced higher mortality rates (AAMR, 6.15) than Hispanic populations within nonborder regions (AAMR, 5.44). Non-Hispanic populations encountered similar mortality rates between the two regions. Mortality rates among Hispanic (APC, 0.0; P = .938) and non-Hispanic (APC, 0.2; P = .531) populations in the border regions remained unchanged from 1999 to 2020.

INTERPRETATION:

These results revealed ILD-related mortality disparities among the US-MX border regions, emphasizing the importance of public health measures to increase access to equitable medical care and implement targeted interventions among these vulnerable populations.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE País/Região como assunto: Mexico Idioma: En Revista: Chest Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Azerbaidjão País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE País/Região como assunto: Mexico Idioma: En Revista: Chest Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Azerbaidjão País de publicação: Estados Unidos