酒精性心肌病死亡率和社会脆弱性指数:全国横截面分析
Mahek Shahid1, Ramzi Ibrahim1, Anna Arakelyan2
1Department of Medicine, University of Arizona Tucson, Tucson, AZ, USA.
International journal of cardiology. Cardiovascular risk and prevention
|November 15, 2023
概括
社会脆弱性影响酒精性心肌病 (ACM) 死亡率. 更高的社会脆弱性指数 (SVI) 与增加的ACM死亡有关,突出了心血管健康结果的差异.
科学领域:
- 公共卫生 公共卫生
- 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:
- 社会脆弱性指数 (SVI) 与心血管疾病结果和酒精使用率有关.
- 酒精性心肌病变 (ACM) 是心血管死亡的一个重要原因.
- 了解SVI在ACM死亡率中的作用对于公共卫生倡议至关重要.
研究的目的:
- 评估社会脆弱性指数 (SVI) 对酒精性心肌病 (ACM) 死亡率的影响.
- 量化可归因于较高SVI的过度死亡.
- 为了确定与SVI相关的ACM死亡率的人口差异.
主要方法:
- 利用来自CDC数据库的国家死亡率 (1999-2020) 和SVI数据.
- 从死亡证明中分析人口统计数据 (年龄,性别,种族/种族,地理).
- 通过Poisson回归,在SVI四分位数中比较年龄调整的ACM死亡率.
主要成果:
- 有较高SVI的县份呈现出较高的ACM死亡率.
- 升高的SVI与美国1107例过度死亡有关 (RR: 1.38).
- 在不同性别和种族/种族群体中观察到死亡率的显著增加.
结论:
- 较高的SVI与增加的ACM死亡率有关.
- 针对高SVI地区的有针对性的干预措施可以解决健康差异.
- 公共卫生战略应优先考虑健康公平,以减少ACM死亡率.
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