心血管健康的差异在种族,种族和性认同的交叉点
Nicole Rosendale1, Andrew J Wood1, Cindy W Leung2
1Weill Institute for Neurosciences, Department of Neurology, University of California San Francisco.
JAMA network open
|May 1, 2024
概括
心血管健康差异存在于种族,种族和性认同的交叉点,特别是在性少数群体 (SM) 的女性中. 需要量身定制的干预措施来解决这些CVH在不同SM社区的差异.
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:
- 了解性认同,种族和种族对心血管健康 (CVH) 差异的交叉影响是有限的.
- 现有研究尚未充分探讨这些综合因素如何影响CVH结果.
研究的目的:
- 在种族,种族和性认同的交叉点评估CVH的差异.
- 利用美国心脏协会的生命必不可少的8项措施来评估CVH.
主要方法:
- 使用国家健康和营养检查调查数据 (2007-2016) 进行的横截面研究.
- 包括没有先前心血管疾病或中风的非机构化,非怀孕的成年人 (18-59岁).
- 分析了整体CVH分数和个别指标,根据年龄,调查年份和社会经济地位进行调整.
主要成果:
- 与异性恋同行相比,黑人,西班牙裔和白人性少数群体 (SM) 的女性成年人总体CVH得分明显较低.
- 在任何种族或种族的SM男性成年人中,没有发现CVH得分的统计学上显著差异.
- 被认定为SM的其他种族和民族的成年女性在CVH分数中没有统计学上显著的差异.
结论:
- 在种族,民族和性认同的交叉点上,CVH差异是显而易见的,特别是在SM女性中.
- 需要量身定制的干预措施来改善各种性少数群体社区的CVH.
- 建议进行纵向研究,以阐明这些CVH差异的原因,并为有针对性的公共卫生战略提供信息.
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