从癌症设施释放后心血管疾病风险因素控制:一个横截面研究
Jenerius A Aminawung1, Lisa B Puglisi1, Brita Roy2
1SEICHE Center for Health and Justice, Department of Internal Medicine Yale University School of Medicine New Haven Connecticut.
Journal of the American Heart Association
|September 9, 2024
概括
与从监狱释放出来的人相比,从监狱释放出来的人面临着不受控制的心血管疾病 (CVD) 风险因素的更高风险. 针对性干预对这一脆弱人群至关重要,以改善心血管健康结果.
科学领域:
- 公共卫生 公共卫生
- 心血管医学 心血管医学
- 健康差异 在健康上的差异
背景情况:
- 监禁严重影响心血管健康,但在临床和公共卫生策略中仍未得到充分解决.
- 曾被监禁的个人表现出心血管疾病 (CVD) 的风险增加和较差的结果.
- 本研究调查了与不受控制的心血管疾病风险因素相关的监禁特定因素,以针对性预防.
研究的目的:
- 确定与不受控制的心血管疾病 (CVD) 风险因素相关的监禁特定因素.
- 为有监禁历史的个人提供预防策略的信息.
- 为改善健康结果指导重新入境倡议的实施.
主要方法:
- 从监禁中释放的具有心血管疾病风险因素的个人前性队列研究 (JUSTICE) (N=471).
- 监禁特定因素的分析及其与心血管疾病风险因素控制的关联.
- 调整后的分析控制了人口统计和心理社会因素.
主要成果:
- 超过一半 (54%) 的参与者在基线时至少有一个不受控制的心血管疾病风险因素.
- 与监狱相比,从监狱释放与血压和吸烟的生命必需8分较低有关.
- 从监狱释放与不受控制的心血管疾病风险因素的概率高出1.62倍 (aOR 1.62 [95% CI,1.02-2.57]).
结论:
- 监狱释放是心血管疾病 (CVD) 风险因素控制不良的重要预测因素.
- 对从监狱释放的个人来说,有必要进行量身定制的干预.
- 研究结果支持整合重新入境服务,如CMS Reentry 1115豁免,以改善健康结果.
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