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Social Environment Change and Social Health Outcomes

机译:社会环境变化与社会健康成果

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Background: In 2012, 12.6 million deaths globally were attributable to the environment. When accounting for both death and disability, the fraction of the global burden of disease due to the environment is 22% (95% CI: 13-32%). Deaths from environment risks could be prevented, if environmental risks were removed. Objectives: This study aims to share information on the practice and explain the effects of social environment change on social health outcome, based on CDC and community health service center data from a district in Wuhan, China. Methods: A Health in all polices based city practice was conducted in one of the district in Wuhan. Statistical analysis were conducted in SPSS, data were estimated using comparative risk assessment (CRA) method. Results: 1) the health outcomes improved markedly, such as residents' life expectancy has risen to 80.23 years from 79.22 years, maternal mortality per 100,000 newborns has decreased to 10.29 from 11.12, infant mortality rate per 1,000 infants has decreased to 3.80 from 4.78 and children under 5 mortality rate has decreased from 6.89% to 4.42% during three years exploring; 2) the effects of social environment change on medical institutions' medical expenses indicated that the growth rate of residents' medical expenses of residents has slowed down, and the number of hospital patients admissions and hospital days has also decreased. Conclusions: We concluded that three years' social environment change yielded positive effects on the health outcomes of the population, and controlling growth of medical expenses.
机译:背景:2012年,全球有1260万人死于环境。当同时考虑死亡和残疾时,环境造成的全球疾病负担比例为22%(95%CI:13-32%)。如果消除环境风险,可以避免因环境风险造成的死亡。目的:本研究旨在基于中国武汉市疾病预防控制中心和社区卫生服务中心的数据,分享有关实践的信息并解释社会环境变化对社会健康结果的影响。方法:在武汉市的一个地区进行了以警察为基础的所有城市卫生实践。在SPSS中进行统计分析,使用比较风险评估(CRA)方法估计数据。结果:1)健康成果显着改善,例如居民的预期寿命从79.22岁提高到80.23岁,每10万新生儿的产妇死亡率从11.12降低到10.29,每千名婴儿的死亡率从4.78和3.80降低到3.80。在3年的探索中,5岁以下儿童的死亡率已从6.89%降至4.42%; 2)社会环境变化对医疗机构医疗费用的影响表明,居民医疗费用的增长速度有所放缓,住院病人的住院人数和住院天数也有所减少。结论:我们得出的结论是,三年的社会环境变化对人口的健康状况产生了积极影响,并控制了医疗费用的增长。

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