印度老年人心血管疾病的不平等:使用LASI第一波 (2017-18年) 的性别视角分析
Bijaya K Padhi1, Saurabh Singh2, Abhay M Gaidhane3
1Department of Community Medicine and School of Public Health, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.
心血管疾病 (CVD) 在印度女性中比男性更为普遍. 针对教育和发病率等性别特异性风险因素的解决对于有针对性的预防策略至关重要.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 心血管疾病 (CVD) 影响两性,但在患病率上存在显著的性别差异.
- 了解心血管疾病中的这些性别差异对于印度的公共卫生倡议至关重要.
研究的目的:
- 分析印度老年人心血管疾病 (CVD) 患病率中的性别差异.
- 确定导致心血管疾病观察到的性别差异的关键因素.
主要方法:
- 利用来自印度长度衰老研究 (LASI,WAVE-I, 2017-18) 的数据,其中31464名60岁以上的参与者.
- 使用后勤回归和非线性费尔利分解来检查心血管疾病风险和性别差距因素.
主要成果:
- 女性 (38.85%) 的心血管疾病患病率高于男性 (31.06%),女性患心血管疾病的可能性高出33%.
- 缺乏教育和更高的并发症负担不成比例地增加了女性心血管疾病风险.
- 吸烟扩大了心血管疾病的性别差距,而增加的上学年限缩小了这一差距.
结论:
- 由于心脏病发病率和风险因素存在显著的性别差异,因此需要针对性别的预防策略.
- 需要对心血管健康采取细微的方法,考虑生物,社会和环境决定因素.
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