美国成年人的社会风险概况和心血管--代谢综合征
Jingkuo Li1, Lubi Lei1, Wei Wang1,2
1National Clinical Research Center for Cardiovascular Diseases, Fuwai Hospital, National Center for Cardiovascular Diseases Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
通过社会风险概况 (SRP) 评分来衡量的社会劣势,在美国成年人中显著增加了患心血管--代谢 (CKM) 多病症的可能性. 较低的SRP分数与更高的CKM阶段概率相关.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 心血管疾病研究研究
背景情况:
- 糟糕的心血管--代谢 (CKM) 健康有助于美国的过早死亡和发病率.
- 不利的社会条件在整个生命过程中显著影响心脏代谢疾病.
研究的目的:
- 检查美国成年人中社会风险概况 (SRP) 和CKM多病症之间的关联.
主要方法:
- 利用国家健康和营养检查调查数据 (1999-2018) 对18373名美国成年人 (20-79岁) 进行调查.
- 定义CKM综合征为同时存在的心血管疾病,慢性病和代谢障碍,按临床严重程度分阶段.
- 根据就业,收入,粮食安全,教育,保险,房屋所有权和婚姻状况计算SRP得分,分为四个级别.
主要成果:
- 低SRP得分 (0-2) 与高SRP得分 (7-8) 相比,与CKM第一阶段 (OR 1.34),第二阶段 (OR 2.03),第三阶段 (OR 5.28) 和第四阶段 (OR 5.97) 的几率增加有关.
- 大多数单个SRP测量和SRP综合得分都显示了与CKM阶段的关联.
结论:
- 由较高的SRP负担表明的累积社会劣势,独立地与CKM多发病率的增加相关.
- 研究结果强调了社会决定因素在CKM健康结果中的重要作用.
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