在杰克逊心脏研究中的社交网络和心血管疾病事件
LáShauntá Glover1, Janiyah Sutton2, Emily O'Brien1
1Department of Population Health Sciences Duke University School of Medicine Durham NC USA.
Journal of the American Heart Association
|November 10, 2023
概括
更大的社交网络可能会降低心血管疾病 (CVD) 的风险,特别是在黑人妇女身上. 这项研究发现,与男性相比,女性的社会联系对心血管疾病事件的保护作用更强.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 心血管健康 心血管健康
背景情况:
- 心血管疾病 (CVD) 造成了严重的健康负担,不成比例地影响黑人成年人.
- 社交网络 (SN),代表社会联系,被假设影响心血管疾病风险.
- 了解SNs的作用对于制定有针对性的公共卫生干预措施至关重要.
研究的目的:
- 调查黑人成年人中社交网络和心血管疾病 (CVD) 事件之间的关联.
- 在这个协会中检查抑郁症状,高血压控制和糖尿病控制的潜在调解.
- 为了确定这些关联是否因性别而异.
主要方法:
- 利用了来自杰克逊心脏研究 (n=4686) 的数据,在基线时使用标准化社交网络指数 (SN分数).
- 采用Cox比例危险回归来评估SNs与发生冠心病,中风和心力衰竭的关联,平均随访时间为11-12年.
- 根据人口,行为和临床共变量进行调整,并测试调解效应.
主要成果:
- 较高的SN分数与女性中风,冠心病和心力衰竭的风险明显降低有关.
- 在男性中,较高的SN得分与较低的冠心病风险有关.
- 没有发现通过抑郁症状,糖尿病控制或高血压控制调解的证据.
结论:
- 更高水平的社会联系与心血管事件的风险降低有关,特别是在女性中.
- 社交网络是黑人成年人心血管疾病预防的潜在可修改因素.
- 旨在加强社会联系的干预措施可能对心血管健康有益,特别是在女性中.
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