人口福祉与心血管结果的关联
Erica S Spatz1,2, Brita Roy3, Carley Riley4,5
1Section of Cardiovascular Medicine, Department of Medicine, Yale School of Medicine, New Haven, Connecticut.
JAMA network open
|July 5, 2023
概括
较高的人口福祉与较低的心血管疾病 (CVD) 死亡率有关. 改善社区福祉可能是改善心血管健康结果的关键策略.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康的社会决定因素
背景情况:
- 心血管疾病 (CVD) 死亡率呈现出显著的地理差异.
- 已知结构性和人口健康因素是导致心血管疾病死亡的因素.
- 人口的福祉,包括目的,社会联系和财务安全等因素,可能会影响心血管健康.
研究的目的:
- 调查美国人口水平福利措施与心血管疾病死亡率之间的联系.
- 确定福利是否可以作为改善心血管健康结果的目标.
主要方法:
- 一项横截面研究,将盖洛普国家健康和福祉指数 (WBI) 调查数据与CDC的县级心血管疾病死亡数据联系起来.
- 分析包括3,228个县的50多万名调查受访者.
- 统计模型评估了幸福与心血管疾病死亡率的关联,调整了结构性和人口健康因素,并探索了调解效应.
主要成果:
- 人口福祉较高的县,心血管疾病死亡率较低.
- 人口福祉增加1个百分点与每10万人中心血管疾病死亡人数下降7.3个百分点有关,即使经过调整.
- 福利部分调解了社会经济因素 (收入不平等,地区贫困指数) 与心血管疾病死亡率之间的关联.
结论:
- 较高的人口福祉显著与心血管疾病死亡率的降低有关.
- 幸福感是一种可衡量和可修改的因素,可以准推进心血管健康.
- 这些发现强调了社会和经济决定因素在心血管健康战略中的重要性.
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