在多民族样本中,文化和社会经济地位作为冠状动脉化的预测因素
Ana V Diez Roux1, Robert Detrano, Sharon Jackson
1Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI, USA. adiezrou@umich.edu
Circulation
|September 8, 2005
概括
文化和社会经济因素影响不同种族群体的冠状动脉水平. 了解这种异质性是研究心脏病风险的种族差异的关键.
科学领域:
- 心血管疾病流行病学
- 健康差距 研究 研究 研究 研究
- 动脉样硬化成像 动脉样硬化成像
背景情况:
- 冠状动脉是亚临床冠状动脉心脏病的公认标志物.
- 以前的研究集中在冠状动脉化的种族差异上,忽视了群体内部的变化.
- 研究结合文化和社会经济地位为冠状动脉化预测因素提供了新的见解.
研究的目的:
- 检查结合文化和社会经济地位作为冠状动脉化的预测因素.
- 探索主要种族/种族群体内冠状动脉化的异质性.
- 评估美国出生和居留时间对冠状动脉化的影响.
主要方法:
- 利用了来自动脉样硬化多民族研究 (MESA) 队列的数据.
- 使用胸部计算机断层扫描 (CT) 分析冠状动脉.
- 使用相对风险和线性回归模型来评估社会人口统计学关联.
主要成果:
- 不出生在美国与黑人和西班牙裔的较低冠状动脉化有关.
- 美国居住时间较长与非美国出生的中国人和黑人化增加相关.
- 低教育程度与白人化程度较高有关,而西班牙裔的化程度较低.
- 美国出生和在美国的时间与化的程度有积极的相关性.
结论:
- 文化和社会经济因素对冠状动脉化患病率和程度的变化有很大影响.
- 承认种族/民族群体内的异质性对于准确研究心脏病风险至关重要.
- 这些发现突出了社会决定因素和心血管健康的复杂相互作用.
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