探索心血管事件发生率的性别变化:一个反事实分解分析
Sara Castel-Feced1,2,3, Sara Malo1,2,3,4, Isabel Aguilar-Palacio1,2,3,4
1Department of Microbiology, Pediatrics, Radiology, and Public Health, University of Zaragoza, Zaragoza, Spain.
European journal of public health
|January 2, 2024
概括
糖尿病和社会经济地位在重大心血管不良事件 (MACE) 中的性别差异有显著的贡献. 针对男性的糖尿病预防和性别平等政策有助于缩小这一MACE差距.
科学领域:
- 心血管健康的心血管健康
- 健康上的不平等 卫生上的不平等
- 流行病学 流行病学
背景情况:
- 心血管风险因素 (CVRF) 呈现出性别特异性流行,影响主要心血管不良事件 (MACE).
- 健康的社会决定因素显著影响MACE的发展,并导致健康差异.
- 反事实分解分析提供了一种分析健康不平等的新方法.
研究的目的:
- 为了评估MACE发病率的性别差异.
- 量化糖尿病,高血压,高胆固醇血症和社会经济地位 (SES) 对MACE观察到的性别差异的贡献.
主要方法:
- 在278,515名CVRF患者的队列中使用描述性和反事实性分析.
- 通过将观察到的风险比率与男性共享女性因素分布的假设情景进行比较,估计了因果因素贡献.
- 在2018年至2021年期间收集的数据.
主要成果:
- 高胆固醇血症是最常见的CVRF,在两性中患病率相似;糖尿病在男性中更为普遍.
- 与女性相比,男性的MACE发病率较高.
- 糖尿病和社会经济地位 (SES) 被确定为MACE中性别差异的主要媒介,SES具有抵消作用.
结论:
- 解决MACE差异需要针对男性制定有针对性的糖尿病预防策略.
- 建议实施性别平等工资政策,以减轻导致MACE差距的社会经济差异.
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