根据CHD患者的教育水平对心血管风险因素的全球视角:SURF CHD II
Anna Marzà-Florensa1, Ilonca Vaartjes1, Ian Graham2
1Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
患有冠心病 (CHD) 的患者往往难以控制风险因素,而高等教育与二级预防中更好的结果有关. 这突显了全球在心血管疾病护理中的健康不平等.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 临床指南强调对冠状动脉心脏病 (CHD) 患者的生活方式改变和药物治疗.
- 在心血管疾病患者中有效控制风险因素是具有挑战性的,特别是对于那些教育程度较低的人来说.
研究的目的:
- 评估二次预防心血管疾病的教育水平差异.
- 分析不同收入国家的风险因素目标实现和治疗方面的不平等情况.
主要方法:
- 一项跨部门临床审计 (SURF CHD II) 涉及29个国家的13884名心脏病患者.
- 在2019-2022年例行临床访问期间收集的数据.
- 后勤回归用于评估基于教育水平的目标实现和治疗差异,按国家收入分层.
主要成果:
- 总体而言,在心血管疾病患者中,指南定义的风险因素目标的实现情况不佳.
- 有高等教育的患者更有可能实现吸烟,LDL胆固醇和体育活动的目标.
- 高等教育与增加使用心脏保护药物和参与心脏康复相关.
结论:
- 在心血管疾病的二次预防方面存在显著的健康不平等,更高的教育程度与更好的风险因素管理有关.
- 教育和二级预防结果之间的关系因国家收入水平而异.
- 需要采取全球努力,以改善所有心脏病患者的风险因素目标实现和心脏康复参与.
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