心血管负担和失业:一项针对法国大规模人口群体的回顾性研究
Marina Sanchez Rico1, Marie Plessz2, Guillaume Airagnes3,4
1AP-HP, DMU Psychiatrie et Addictologie, Hôpital Corentin-Celton, Issy-les-Moulineaux, France.
失业显著增加心血管疾病的风险,独立于社会因素. 过去的失业与更多的健康问题和心血管事件有关,随着时间的推移,风险会累积起来.
科学领域:
- 公共卫生 公共卫生
- 心血管流行病学心血管流行病学
- 健康的社会决定因素
背景情况:
- 失业对心血管健康的影响,与社会地位和工作环境不同,仍然不清楚.
- 了解这些关联对于针对弱势群体的公共卫生干预至关重要.
研究的目的:
- 调查当前或过去失业对心血管风险因素和事件的独立影响.
- 分析失业对心血管健康的影响如何与社会地位和先前的工作环境相互作用.
主要方法:
- 利用了以人口为基础的法国队列 (CONSTANCES) 与131,186名成年人 (2012-2021).
- 采用多重后勤回归模型,根据社会地位和工作环境进行调整.
- 分析了失业状态 (当前/过去) 和心血管风险因素/事件之间的关联.
主要成果:
- 目前的失业率与滥用酒精,吸烟,不活动和抑郁症的可能性更高.
- 过去的失业与肥胖,糖尿病,睡眠障碍,非致命的心肌梗塞和外周动脉疾病的几率增加有关.
- 随着失业的持续时间,心血管风险和事件的增加,并且在调整风险因素后仍然存在.
结论:
- 失业独立地增加了心血管风险,随着时间的推移而累积,并增加了来自低社会地位或恶劣工作环境的风险.
- 长期失业通过增加对常见风险因素的暴露,有助于心血管事件.
- 调查结果强调失业是心血管疾病负担的重要独立因素.
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