亚裔美国人亚组中心血管风险因素的社会决定因素
Alicia L Zhu1,2, Austin D Le1,3, Yuemeng Li1,4
1Stanford University Center for Asian Healthcare Research and Education Stanford CA.
Journal of the American Heart Association
|April 3, 2024
概括
健康的社会决定因素 (SDOH) 在亚裔美国人亚组中显著影响心血管风险因素. 通过文化定制的干预措施解决SDOH是改善心脏健康的关键.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 心血管健康 心血管健康
背景情况:
- 健康的社会决定因素 (SDOH) 对心血管风险因素的发展至关重要.
- 调查不同亚裔美国人亚组内的SDOH和心血管风险因素之间的特定关联是必不可少的.
研究的目的:
- 研究健康的社会决定因素 (SDOH) 和各种心血管风险因素之间的关系.
- 在不同的亚裔美国子组中确定特定的SDOH协会.
主要方法:
- 采用了来自国家健康访谈调查 (2013-2018) 的数据,用于美国成年人全国代表性样本.
- 将27个SDOH变量分类为经济稳定,社会凝聚力,粮食安全,教育和医疗保健利用率,以创建SDOH分数.
- 分析了自我报告的心血管风险因素,包括糖尿病,高胆固醇,高血压,肥胖,体力活动,睡眠和尼古丁暴露,使用多变量调整后勤回归.
主要成果:
- 增加的SDOH得分与中国和菲律宾成年人患糖尿病的几率更高有关.
- 菲律宾成年人SDOH分数较高,患高血压的几率增加.
- 亚洲,印度,中国和菲律宾成年人中体力活动不足的情况更为普遍,SDOH分数更高.
- 在亚裔印度人成年人中,低于最佳的睡眠与较高的SDOH分数有关.
- 尼古丁暴露在中国和菲律宾成年人中更常见,SDOH分数更高.
结论:
- 健康的不利社会决定因素与各种亚裔美国人亚组中心血管风险因素的概率增加有显著的关联.
- 开发和实施针对健康的社会决定因素的文化特定干预措施可能会提高亚裔美国人的心血管健康结果.
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