药房靠近与心血管药物使用和风险因素控制之间的关联在美国
Alexander R Zheutlin1, Nasser Sharareh2, Jenny S Guadamuz3
1Division of Cardiology, Feinberg School of Medicine Northwestern University Chicago IL USA.
Journal of the American Heart Association
|February 23, 2024
概括
药房附近并不总是影响药物的使用或血压 (BP) 和LDL胆固醇的控制. 这项研究发现,生活在药店供应较多或较少的地区的人,心血管状况类似.
科学领域:
- 公共卫生 公共卫生
- 心血管健康 心血管健康
- 健康差异 在健康上的差异
背景情况:
- 社区药房的准入对于解决美国心血管差异至关重要.
- 包括药房在内的有限的医疗保健服务不成比例地影响了少数群体.
- 这项研究调查了药房附近与心血管健康结果之间的联系.
研究的目的:
- 量化药房附近与使用抗高血压药物和他类药物的相关性.
- 检查药房附近与血压 (BP) 和低密度脂蛋白胆固醇 (LDL-C) 水平之间的关系.
- 评估这些协会在不同的城市,郊区和农村环境.
主要方法:
- 对来自REGARDS研究 (2013-2016) 的16150名参与者的横截面分析.
- 药房的近距离根据人口普查区使用10分钟的驾驶时间分析 (使用5分钟和20分钟的灵敏度分析) 来确定.
- 药物使用通过药片瓶审查评估;使用标准方法测量血压和LDL-C. 用于分析的回归模型.
主要成果:
- 在更高的药房附近与使用抗高血压药物或他类药物之间没有发现一致的关联.
- 药房附近没有显示出与改善血压控制或LDL-C水平的显著联系.
- 这些发现适用于农村,郊区和城市地区,以及敏感性分析.
结论:
- 居住在离药店较近的地区并不总是与服用药物或控制血压和LDL-C有关.
- 居住在人口普查区的参与者心血管健康结果相似,药房接近度高低.
- 在这个群体中,邻里药房的准入可能不是目前心血管差异的主要驱动因素.
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