中国的心血管疾病:社会经济地位变化 流行率的变化
Chao Zhang1, Ying Shen2, Anxin Wang3
1Department of Neurology, Tianjin Key Laboratory of Cerebral Vascular and Neurodegenerative Diseases, Tianjin Huanhu Hospital, Clinical College of Neurology, Neurosurgery, and Neurorehabilitation, Tianjin Medical University, Tianjin University, Tianjin, People's Republic of China.
Risk management and healthcare policy
|October 16, 2023
概括
在中国,心血管疾病的患病率与社会经济地位有关. 较低的社会经济地位,特别是在农村地区,与患心血管疾病的风险更高有关,这凸显了针对性干预的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会医学 社会医学
背景情况:
- 心血管疾病 (CVD) 是全球和中国的主要死亡原因.
- 亚洲人群中心血管疾病与社会经济地位 (SES) 之间的关联存在有限的数据.
- 本研究通过检查中国心脏病发病率的SES变化来解决这一差距.
研究的目的:
- 研究中国社会经济地位与心血管疾病患病率之间的关系.
- 描述社会经济因素如何影响大规模多样化人口中心血管疾病的分布.
- 为预防心血管疾病制定有针对性的公共卫生战略提供信息.
主要方法:
- 进行了一项大规模,全国性的横截面研究.
- 集群抽样被用来招募参与者进行面对面的问卷访谈.
- 通过回归模型收集和分析了有关健康,SES,人口统计和并发病的数据.
主要成果:
- 来自394,688名参与者的数据显示,心血管疾病的流行率为7.9%.
- 农村地区 (8.4%) 的心血管疾病患病率高于城市地区 (7.5%).
- 观察到社会经济地位 (包括城市化和收入) 与心血管疾病患病率之间存在显著的负相关性.
结论:
- 区域和个人层面的社会经济地位与中国的心血管疾病患病率有很大关系.
- 研究结果表明,需要针对性公共卫生干预,重点关注高风险社会经济群体.
- 有效的预防,查和治疗策略应考虑社会经济差异,以减少心血管疾病负担.
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