心血管疾病中的社会经济不平等:因果关系视角
David Bann1, Liam Wright2, Alun Hughes3
1Centre for Longitudinal Studies, Social Research Institute, IOE, UCL's Faculty of Education and Society, University College London, London, UK. david.bann@ucl.ac.uk.
Nature reviews. Cardiology
|October 11, 2023
概括
社会经济地位 (SEP) 可能因果关系影响心血管疾病 (CVD) 风险,尽管需要更多的研究. 了解这种复杂的关系需要跨学科的方法,以告知有效的公共卫生政策.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会学 社会学 社会学
背景情况:
- 心血管疾病 (CVD) 的持续社会经济不平等存在于高收入国家.
- 尽管心血管疾病总体下降,但低社会经济地位 (SEP) 和心血管疾病发展之间的因果关系仍在争论中.
研究的目的:
- 审查SEP和CVD之间的因果关系的证据.
- 探索影响这种关系的复杂性和上下文因素.
主要方法:
- 从观察性,基于家庭,孟德尔随机化,准实验和实验性研究的证据的审查.
- 分析社会背景和寿命因素的作用.
主要成果:
- 传统的研究设计表明,低SEP和心血管疾病之间存在因果关系.
- 准实验和实验证据有限且不确.
- 随着COVID-19的爆发,我们发现了情境依赖的CVD不平等以及潜在的新因果途径.
结论:
- 确定的因果关系需要更强大的实验和准实验证据.
- 跨学科的研究对于理解SEP-CVD协会和为政策提供信息至关重要.
- 对情境依赖和寿命的考虑对于解决心血管疾病不平等至关重要.
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