在亚利桑那州东部保留区的风湿性心脏病,2007-2022年
Jacob Hoekzema1, LeCario Benashley2, Ryan Close2
1The Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, USA.
American heart journal plus : cardiology research and practice
|September 16, 2024
概括
风湿性心脏病 (RHD) 不成比例地影响美洲印第安人,其发病率是普通人口的10倍. 这项研究强调了这些社区急需RHD预防和治疗的迫切需要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心脏病学 心脏病学
背景情况:
- 在美洲印第安人社区进行的风湿性心脏病 (RHD) 研究很少.
- 甲型链球菌感染是已知的RHD的前体.
- 现有的数据表明,在美国土著人口中,RHD患病率存在潜在的知识差距.
研究的目的:
- 确定美国印第安人部落中急性风湿性发烧和RHD的患病率和负担.
- 描述RHD在这个特定人群中的当前影响.
- 为了解决美国印第安人社区对RHD缺乏当代研究的问题.
主要方法:
- 印度卫生服务 (IHS) 记录的回顾性图表审查.
- 分析患者数据以确定急性类风湿性发烧和RHD病例.
- 在研究人口中对疾病负担的流行病学评估.
主要成果:
- 与美国一般人口相比,研究的美洲印第安人部落的RHD率显著增加.
- 发现该群体中RHD的患病率是该群体的10倍.
- 调查结果与其他高收入国家在RHD差异方面观察到的趋势一致.
结论:
- RHD继续对美国的美洲原住民产生不成比例的影响.
- 在美国印第安人社区中,有必要针对性干预和医疗保健策略来预防和管理RHD.
- 需要进一步的研究,以了解这些人群中RHD的具体驱动因素.
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