贫困对中风复发的影响:基于人口的研究
Christopher J Becker1, Heidi Sucharew1, David Robinson1
1From the Departments of Neurology (C.J.B., B.S., D.K.) and Emergency Medicine (R.R.), University of Michigan, Ann Arbor; Department of Biostatistics (H.S.), Cincinnati Children's Hospital Medical Center; Departments of Neurology and Rehabilitation Medicine (D.R., L.N., R.J.S., D.W., S.F., E.A.M., S.D., M.H., M.L.F., B.K.) and Department of Emergency Medicine (K.B.W.), University of Cincinnati, OH; Department of Neurology (A.S.J.), Yale University, New Haven, CT; Miami Neuroscience Institute (F.D.L.R.L.R.), Baptist Health South Florida; Department of Neurology (J.M.), Indiana University School of Medicine, Indianapolis; Department of Neurology (E.C.), University of Chicago, IL; Department of Neurology (S.S.), University of Kansas Medical Center, Kansas City; Department of Neurology (M.S.), Soroka Medical Center, Beersheba, Israel; and National Neurology Program (S.R.M.), Veterans Health Administration and Department of Neurology, Baylor College of Medicine, Houston, TX.
邻里贫困与更高的中风复发率有关. 这种贫困解释了黑人中风风险增加的很大一部分,突出了中风恢复的社会经济因素.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心血管研究研究心血管研究
背景情况:
- 贫困是首次中风发病率的一个已知的风险因素.
- 社区社会经济地位和中风复发之间的关联是不太了解的.
研究的目的:
- 调查社区社会经济地位 (nSES) 和中风复发之间的关系.
- 确定贫困对中风复发风险的影响,特别是在种族方面.
主要方法:
- 在大辛辛那提/北肯塔基地区 (2015-2018) 进行基于人口的研究.
- 社区社会经济地位 (nSES) 根据贫困水平 (≤5%,>5%-10%,>10%-25%,>25%) 分类.
- 用Poisson和Cox回归模型分析复发率和风险,并根据人口和血管因素进行调整.
主要成果:
- 随着社区贫困的增加,观察到中风复发的剂量依赖性增加.
- 较差的nSES与每10万居民中风复发率较高有关.
- 邻里贫困约占黑人中风复发风险的三分之一.
结论:
- 邻居贫困是中风复发的重要驱动因素.
- 贫困和种族的交集在中风复发差异中起着至关重要的作用.
- 解决社会经济因素对于减少中风复发至关重要.
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