患有严重精神疾病的年轻成年人的30年心血管疾病风险
Kathleen M Miley1,2, Stephanie A Hooker1,2, A Lauren Crain1
1HealthPartners Institute. 8170 33 Ave S., Minneapolis, Minnesota 55425, USA.
患有严重精神疾病 (SMI) 的年轻人面临更高的30年心血管疾病 (CVD) 风险,黑人个人和女性的差异增加. 这突出了针对性公共卫生干预的关键领域.
科学领域:
- 心血管流行病学心血管流行病学
- 精神病学流行病学 精神病学流行病学
- 公共卫生 公共卫生
背景情况:
- 严重精神疾病 (SMI) 与严重的健康负担有关.
- 心血管疾病 (CVD) 是导致死亡的主要原因.
- 了解患有SMI的年轻成年人心血管疾病风险对于早期干预至关重要.
研究的目的:
- 为了估计30年的心血管疾病风险在年轻的成年人有或没有SMI.
- 在SMI的年轻成年人中识别可修改的CVD风险因素.
- 评估心血管疾病风险变化如何因种族,种族和性别而异.
主要方法:
- 横截面研究设计. 截面研究设计.
- 分析弗雷明汉30年心血管疾病风险得分和可修改的风险因素.
- 在初级保健机构中,有和没有SMI的患者的比较.
主要成果:
- 患有SMI的年轻人表现出显著更高的30年心血管疾病风险 (RR 1.28).
- SMI与高血压,糖尿病,肥胖和吸烟的增加率有关.
- 与SMI相关的CVD风险因种族 (黑人更高) 和性别 (男性更低) 而异.
结论:
- 患有SMI的年轻人有30年心血管疾病风险增加.
- 黑人个体和患有SMI的女性心血管疾病风险存在差异.
- 这些发现强调了针对这一群体量身定制的预防策略的必要性.
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