美国邻居环境负担和心血管健康
Michael Liu1,2, Vishal R Patel3, Renee N Salas2,4,5,6
1Section of Health Policy and Equity, Richard A. and Susan F. Smith Center for Outcomes Research, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
高环境负担 (EBI) 的社区显示心血管疾病风险增加,特别是在社会脆弱地区. 解决环境因素可能会改善心脏健康结果.
科学领域:
- 环境健康 环境健康
- 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:
- 心血管疾病 (CVD) 是美国主要的死亡原因.
- 美国不同社区的累积环境负担和心血管疾病之间的联系仍然未得到充分研究.
研究的目的:
- 调查社区层面的环境负担与心血管疾病风险因素和疾病的流行之间的联系.
- 通过不同程度的社会脆弱性来检查这些协会.
主要方法:
- 一项全国横截面研究利用了来自71,659张美国人口普查片段的数据.
- 环境负担指数 (EBI) 和社会脆弱性指数与2020年CDC PLACES数据集联系在一起.
- 分析了高血压,糖尿病,肥胖,冠心病和中风的患病率,与EBI四分位数相关.
主要成果:
- 与EBI最低的社区相比,EBI最高的社区表现出更高的高血压,糖尿病,肥胖,冠心病和中风率.
- 这些关联在社会脆弱的社区中最为明显.
- 地理空间匹配和共变量调整证实了这些发现.
结论:
- 累积的环境负担与美国社区心血管风险因素和疾病的增加有关.
- 在社会上,弱势群体遭受的影响最大.
- 需要进一步的前性研究来确认环境改善举措是否有助于改善心血管健康.
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