社会经济地位和心血管结果:挑战和干预措施
William M Schultz1, Heval M Kelli2, John C Lisko1
1Department of Medicine (W.M.S., J.C.L., T.V.).
Circulation
|May 16, 2018
概括
社会经济地位对心血管健康有重大影响,弱势群体面临更高的风险. 身体活动和将社会经济数据纳入风险模型等干预措施有望减少差异.
科学领域:
- 心血管健康与公共健康
背景情况:
- 社会经济地位 (SES) 显著影响心血管健康结果.
- 心血管疾病的差异与收入,教育,就业和社区因素有关.
- 在心血管疾病的性别差异也被记录下来.
研究的目的:
- 审查SES对高收入国家的心脏病发病率,治疗和结果的影响.
- 确定有效的干预措施来减少与SES相关的心脏病差异.
- 为个性化心血管治疗提出未来研究方向.
主要方法:
- 对SES和CVD当前知识的审查.
- 与低SES相关的风险因素 (生物,行为,心理) 的分析.
- 探索新兴的干预措施,包括体力活动,地质测绘和任务转移.
主要成果:
- 由于各种因素,低SES总是与较高的心血管疾病风险相关.
- 结构化的体力活动和地理地图显示出低SES人群的干预潜力.
- 由于文化和地区的差异,将SES纳入风险模型具有挑战性.
结论:
- SES是心血管健康的关键决定因素,需要有针对性的干预措施.
- 未来的研究应该集中在基础机制和有效的,文化相关的干预措施上.
- 个性化心血管治疗应考虑SES因素以改善结果.
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