南非农村的物质需求安全和心血管风险因素
Rebekah J Walker1, Caitlin Magro2, Rabia Amjad3
1Division of Population Health, Department of Medicine, Jacob's School of Medicine and Biomedical Sciences, University at Buffalo, 100 High Street, Buffalo, NY, D2-76, 14203, USA.
BMC public health
|August 12, 2024
概括
物质需求安全与老年南非人的心血管风险更高有关. 解决物质需求等社会决定因素对于低收入国家的心脏病管理至关重要.
科学领域:
- 公共卫生 公共卫生
- 心血管医学 心血管医学
- 健康的社会决定因素
背景情况:
- 心血管疾病 (CVD) 在低收入和中等收入国家 (LMICs) 正在增加,特别是在撒哈拉以南非洲.
- 心血管风险因素的患病率正在增加,但诊断和管理率仍然很低.
- 健康的社会决定因素 (SDOH) 影响心血管疾病的结果,物质需求安全是LMICs的一个关键因素.
研究的目的:
- 调查物质需求安全与心血管风险之间的关联.
- 专注于南非的老年人,这是一个代表性的LMIC环境.
主要方法:
- 在南非2014年非洲健康与老龄化调查中对5059名老年人 (≥40岁) 的分析.
- 线性回归模型评估了物质需求与八个心血管风险因素之间的关系.
- 对社会人口统计学混因素进行控制的调整模型.
主要成果:
- 增加物质需求的安全性与更高的腰部和部比率,BMI,葡萄糖和甘油三酸有显著的关联.
- 具体调整后的关联:腰与部的比例 (β=0.001),BMI (β=0.19),葡萄糖 (β=0.46) 和甘油三 (β=0.26).
结论:
- 更高的物质需求安全性与南非农村老年人心血管风险增加有关.
- 这些发现可以指导南非和类似的低低收入国家/地区的CVD治疗和管理策略.
- 未来的研究应该探索解决物质需求的干预措施,安全在心血管风险中的作用.
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