较低的社会经济地位,心理困扰和自我报告的高血压:一个纵向的温和调解分析
Liying Zhang1, Rhonda Dailey1, Robert D Brook2
1Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Detroit, Michigan, USA.
较低的社会经济地位 (SES) 与高血压有关,心理困扰作为关键调解者. 这种关联因性别而受到调节,突出了高血压预防策略的潜在目标.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康的社会决定因素
背景情况:
- 较低的社会经济地位 (SES) 与高血压风险增加有关.
- 影响这种关系的具体途径和缓解因素需要进一步研究.
- 了解这些调解者和主持者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:
- 检查心理痛苦在较低的SES和自我报告的高血压之间的关联中的调解作用.
- 调查种族和性别对SES-高血压联系的缓和作用.
- 确定潜在的干预点,以减少高血压差异.
主要方法:
- 来自收入动态小组研究 (PSID) (2009-2019) 的纵向数据的分析.
- 根据教育,就业状况和收入来定义较低的SES.
- 使用Kessler K6尺度和通过Cox比例危险回归和调解模型进行统计分析来评估心理痛苦.
主要成果:
- 较低的SES与自我报告的高血压风险增加显著相关 (HR=1.27).
- 心理困扰显著调解了SES和高血压之间的关系.
- 通过心理困扰SES对高血压的间接影响是由性别调节的,但不是种族.
结论:
- 心理痛苦调解了社会经济地位较低和高血压之间的关联.
- 性调节了心理痛苦的调解效应,这表明男性和女性的途径不同.
- 干预措施应应对社会经济因素和心理压力,以减轻高血压风险.
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