多维贫困和动脉样硬化心血管疾病的风险:美国国家研究
Sara Ayaz Butt1, Mauricio Tano Retamales2, Zulqarnain Javed1,3
1Houston Methodist Research Institute, Houston Methodist, Houston, Texas, USA.
JACC. Advances
|August 12, 2024
概括
考虑到收入,教育,健康和保险,多维贫困与动脉样硬化心血管疾病 (ASCVD) 风险增加有关. 这一测量比单独的收入更好地预测ASCVD.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康的社会经济决定因素
背景情况:
- 贫困是动脉样硬化心血管疾病 (ASCVD) 的已知危险因素.
- 传统的基于收入的贫困指标不能完全捕捉社会经济逆境的复杂性.
- 需要对贫困评估采取多维方法,以了解其对ASCVD的影响.
研究的目的:
- 调查多维贫困指标与ASCVD之间的关联.
- 为了比较ASCVD多维贫困与基于收入的贫困的预测能力.
主要方法:
- 分析国家健康访谈调查数据来自328,164名参与者.
- 计算加权的贫困得分,包括收入,教育,自我报告的健康状况和健康保险状况.
- 使用波桑回归和接收器运行特征 (ROC) 曲线分析来评估关联和歧视力.
主要成果:
- 更高的多维贫困与ASCVD患病率的增加显著相关,调整后的患病率高达2.38.
- 患有ASCVD的参与者在所有贫困维度中表现出更大的贫困.
- 多维贫困指数显示,与单独收入贫困相比,ASCVD的歧视有效性略高 (AUC 0.62与0.58).
结论:
- 多维贫困和ASCVD之间存在着强烈的联系.
- 多维贫困指数为ASCVD提供了比基于收入的措施更好的预测能力.
- 建议进行进一步的研究,以完善对贫困在健康结果中的作用的理解.
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