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老年人的邻居特征和高血压
Kendra D Sims1,2, Mary D Willis2, Perry W Hystad3
1Department of Epidemiology and Biostatistics, University of California, San Francisco.
JAMA network open
|September 25, 2023
概括
邻里地区的变化,如房主移民,可能会降低老年白人成年人的高血压. 这些因素对黑人或西班牙裔个人没有同样的保护作用,突出显示了高血压控制方面的差异.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 老年学是一门学科.
背景情况:
- 当地环境对老年人血压升高的影响还未得到充分研究.
- 邻居条件,特别是与种族隔离相关的条件,可以推动高血压差异.
研究的目的:
- 评估邻居因素 (社会人口统计学,经济,住房) 与高血压之间的独立关联.
- 研究社区特征如何影响老年人的高血压.
主要方法:
- 利用了超过12,000名参与者的健康和退休研究数据 (2006-2016).
- 采用通用估计方程来分析51个人口普查通道变量与高血压之间的关联.
- 进行了种族和种族分层分析,以确定邻居因素的差异性影响.
主要成果:
- 在近期房屋所有者移民的社区 (1999年以后) 观察到血压升高的可能性较低.
- 这种关联对于非西班牙裔白人参与者来说是显著的,但对于非西班牙裔黑人或西班牙裔/拉丁裔参与者来说并非如此.
- 血压升高的相对风险为0.91 (95% CI,0.86-0.96) 为最近房主移民的最高与最低三位数.
结论:
- 最近的房屋所有者移民与老年白人成年人血压升高风险的降低有关.
- 这种邻居因素并没有对黑人或西班牙裔老年人产生类似的保护作用.
- 研究结果表明,邻里变化可能与 gentrification 有关,可能会影响血压控制在种族和种族群体之间不同.
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