种族住宅隔离与心血管疾病死亡率中黑人和白人差异之间的关联
Kriyana P Reddy1, Lauren A Eberly2, Howard M Julien3
1Penn Cardiovascular Outcomes, Quality, and Evaluative Research Center, University of Pennsylvania, Philadelphia, PA.
American heart journal
|June 26, 2023
概括
种族隔离与黑人人口中较高的心血管疾病 (CVD) 死亡率有关,并且在心血管疾病死亡中扩大了黑人和白人之间的差异. 需要进一步的研究来理解因果关系.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 种族隔离是健康不平等的一个已知的社会决定因素.
- 种族隔离对心血管疾病 (CVD) 死亡率差异在黑人和白人人口之间的影响仍然不清楚.
研究的目的:
- 评估黑人和白人的住宅隔离与心血管疾病死亡率之间的关联.
- 检查种族隔离如何影响心血管疾病死亡率的黑人和白人差异.
主要方法:
- 美国各县 (2014-2017) 的横截面分析,使用县级隔离互动指数.
- 非西班牙裔 (NH) 黑人和NH白人成年人 (≥25岁) 的计算年龄调整的心血管疾病死亡率.
- 采用顺序通用线性模型和相对风险比率测试来分析隔离对死亡率和差异的影响.
主要成果:
- 更高的隔离与NH黑人心血管疾病死亡率的增加有关 (15%高于大多数与最少隔离的县).
- 在高度隔离的县,NH黑人与NH白人相比,心血管疾病死亡的可能性高出33%.
- 种族隔离在心血管疾病死亡率上显著加剧了黑人和白人之间的差异.
结论:
- 增加黑人与白人的住宅隔离与更高的NH黑人心血管疾病死亡率和更广泛的黑人与白人的心血管疾病死亡率差异有关.
- 需要进一步的研究来阐明导致这些差异的具体因果机制.
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