ベテランの心臓リハビリテーション利用: 性別分析
Merilyn S Varghese1, Ling Han1, Parul U Gandhi1
1Yale School of Medicine, New Haven, Connecticut, USA; VA Connecticut Healthcare System, West Haven, Connecticut, USA.
JACC. Advances
|February 19, 2026
まとめ
心臓リハビリテーション (CR) の参加率は米国の退役軍人にとって低いままであり,性格差はありません. しかし,社会経済的地位が低い退役軍人は,CRプログラムに参加する可能性が低い.
科学分野:
- 心臓病学 心臓病学
- 公衆衛生は公衆衛生である.
- 医療サービス 研究 医療サービス
背景:
- 退役軍人は,非退役軍人よりも心臓血管疾患のリスクが高くなります.
- 心臓リハビリテーション (CR) は心血管疾患のアウトカムを改善しますが,退役軍人の利用は不明です.
- CRの参加を理解することは,退役軍人の健康格差に対処するために不可欠です.
研究 の 目的:
- 米国退役軍人の心臓リハビリテーション (CR) に関する参加率を調査する.
- 性別や社会経済的な地位に基づくCR採用の格差を調査する.
- 退役軍人集団におけるCR開始に影響を与える要因を特定する.
主な方法:
- 2021年から2023年にかけての国家電子医療記録を利用した遡及的なコホート研究.
- 主要心筋梗塞 (心筋梗塞,PCI,CABG) の1年以内にCR参加の分析.
- 患者およびコミュニティレベルの要因を組み込む多変数ロジスティック回帰,社会経済的地位のための地域貧困指数 (ADI) を含む.
主要な成果:
- 82,496人の資格のある退役軍人のCR参加率は全体的に低い (10.4%),女性 (10.2%) と男性 (10.4%) の割合は同様であった.
- 共同変数 (aOR: 0.90; P=0.121) を調整した後に,CR参加における性別による有意な差異は観察されなかった.
- 最も貧しいADI四分の一の退役軍人は,最も貧しい四分の一と比較して,著しく低いCR参加を示しました (aOR: 0.82; P<0.001).
結論:
- 心臓リハビリテーションの利用率は米国の退役軍人の間で低く,メディケアの受益者よりも著しく遅れている.
- 性別はCRを開始する障壁ではないが,社会経済的地位は明らかに参加に影響を与える.
- ベテラン特有のCR配信モデルに関するさらなる研究は,アクセスと成果の改善に不可欠です.
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