收入变化和糖尿病中发生的心血管疾病:基于人口的队列研究
Yong-Moon Mark Park1,2, Jong-Ha Baek1,3, Hong Seok Lee4
1Department of Epidemiology, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
European heart journal
|April 26, 2024
概括
收入波动和持续低收入增加了2型糖尿病 (T2D) 患者心血管疾病 (CVD) 的风险. 了解这些收入动态对于管理该人口中心血管疾病风险至关重要.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 纵向收入变化是理解心血管健康差异的关键.
- 有限的研究存在于与2型糖尿病 (T2D) 患者的收入动态相关的心血管疾病 (CVD) 风险.
研究的目的:
- 调查收入变化,收入下降,持续低收入和患有2型糖尿病 (T2D) 的成年人发生心血管疾病 (CVD) 的风险之间的联系.
主要方法:
- 利用来自韩国国家医疗保险服务数据库 (2009-2012,平均随访7.3年) 的大型,全国代表性样本 (1,528,108名30-64岁的T2D成人).
- 评估年收入使用5年期间的每月医疗保险费用来计算收入变化 (百分比变化的个人内部标准偏差).
- 分析了使用保险索赔的致命和非致命的CVD事件事件,计算了因混因素而调整的危险比率 (HR).
主要成果:
- 更高的收入变化与心血管疾病风险增加有显著关联 (HR最高与最低四分位数1.25).
- 经历收入下降,特别是在最低水平,高心血管疾病风险,无论最初的收入状况.
- 在5年内持续低收入增加了心血管疾病风险 (HR 1.38),而持续高收入则降低了风险 (HR 0.71).
结论:
- 收入变化,收入下降和持续低收入与2型糖尿病患者心血管疾病 (CVD) 风险较高有关.
- 需要进行进一步的研究,以阐明收入动态如何影响这一弱势群体心血管疾病风险的机制.
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