动脉样硬化心血管疾病 拉丁裔子组中的初级和二级预防
Jorge Kaufmann1, Miguel Marino2,3, Jennifer A Lucas2
1Department of Family Medicine, Oregon Health & Science University, Portland, Oregon, USA. kaufmjor@ohsu.edu.
Journal of general internal medicine
|June 10, 2024
概括
美国的拉丁裔,无论出生地,都显示出更高的动脉样硬化心血管疾病 (ASCVD) 风险因素资格. 量身定制的他类药物处方策略对于不同的拉丁裔子组来说至关重要,以改善心血管健康.
科学领域:
- 心血管疾病流行病学
- 健康 公平 研究 健康 公平 研究
- 临床预防服务临床预防服务
背景情况:
- 关于美国拉丁裔在动脉样硬化心血管疾病 (ASCVD) 预防中的公平性,存在不同的结果.
- 拉丁裔人口表现出显著的多样性,可能会影响心血管健康结果.
- 婴儿床对拉丁裔ASCVD预防策略的影响仍未得到充分研究.
研究的目的:
- 根据他们的出生国家,调查美国拉丁裔在ASCVD查,检测和他类药物处方方面的差异.
- 将美国出生的拉丁裔,非美国出生的拉丁裔和非西班牙裔白人个人之间的ASCVD风险和治疗模式进行比较.
主要方法:
- 一项回顾性队列研究,使用来自12个州320个社区卫生中心的电子健康记录数据 (2014-2020年).
- 包括拉丁裔成年人 (按出生国:古巴,多米尼加共和国,萨尔瓦多,危地马拉,洪都拉斯,墨西哥,美国) 和20-75岁的非西班牙裔白人成年人.
- 用调整后的回归模型分析了他类药物的适用性,评估资格的数据完整性以及他类药物的处方/补充率.
主要成果:
- 拉丁裔,无论是美国出生的还是非美国出生的,与非西班牙裔白人相比,更有可能有资格接受他类药物治疗.
- 符合资格标准因种族和出生地而异,拉丁裔人不太可能缺少数据.
- 虽然在美国出生的拉丁裔和非西班牙裔白人之间没有观察到对他类药物处方的显著差异,但基于特定的非美国原产国出现了差异.
结论:
- 改善拉丁裔心血管健康需要针对子组的风险因素管理和他类药物启动的具体方法.
- 将预防和治疗策略与拉丁裔子群体的多样化需求相适应,对于实现健康平等至关重要.
- 进一步研究ASCVD预防在不同拉丁裔国家起源的细微差别是有必要的.
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