温度和社会经济脆弱性:与心脏事件诱导的创伤后应激症状相关联
Talea Cornelius1, Joan A Casey2, Allan C Just3
1Center for Behavioral Cardiovascular Health, Columbia University Irving Medical Center, New York, NY, United States.
Frontiers in psychology
|June 16, 2023
概括
较高的社会经济地位可能会在急性冠状动脉综合征 (ACS) 后防止创伤后应激症状 (PTSS). 温度与PTSS无关,但较低的社会经济地位 (SES) 与ACS患者的PTSS增加有关.
科学领域:
- 环境心脏病学环境心脏病学
- 精神心脏病学心脏病学
- 社会流行病学社会流行病学
背景情况:
- 创伤后应激症状 (PTSS) 在急性冠状动脉综合征 (ACS) 之后很常见,增加了发病率和死亡率.
- 气候变化对心理和心血管健康产生负面影响,而PTSS可能会调解这种联系.
- 较低社会经济地位 (SES) 的人口面临着更大的气候脆弱性和心血管健康差异,可能会放大温度对PTSS的影响.
研究的目的:
- 为了研究温度,温度变化和社会经济地位 (SES) 与 PTSS 1 个月后ACS.之间的关联.
- 检查与PTSS有关的温度和SES之间的相互作用.
- 确定影响ACS患者PTSS发展的因素.
主要方法:
- 在956名被评估为ACS.患者的长度队列研究中.
- 空间回归模型分析了温度,温度变化,人口普查管道水平的SES,以及它们与PTSS的相互作用.
- PTSS是自我报告的;SES是从CDC社会脆弱性指数中衍生出来的.
主要成果:
- 在温度或温度变化与PTSS之间没有发现显著的关联.
- 在ACS后1个月,较低的人口普查通道水平的SES与较大的PTSS有显著的关联.
- 一个边际显著的相互作用表明SES-PTSS关联主要在患有ACS的患者中观察到.
结论:
- 在这个队列中,温度暴露与急性心血管疾病诱导的PTSS无关.
- 下SES是ACS后发展PTSS的一个重要风险因素.
- 针对低SES ACS患者的PTSS的早期干预可以改善精神和心血管结果.
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