东南亚多民族半农村人口10年预测心血管疾病风险的变化:前性研究
Hamimatunnisa Johar1,2, Chiew Way Ang1, Roshidi Ismail1
1South East Asia Community Observatory (SEACO) & Global Public Health, Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Subang Jaya, Malaysia.
JMIR public health and surveillance
|September 26, 2024
概括
社会人口统计学和心理健康因素显著影响心血管疾病 (CVD) 风险轨迹. 了解这些关联对于在服务不足的人群中进行有针对性的公共卫生干预至关重要.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 心血管医学 心血管医学
背景情况:
- 心血管疾病 (CVD) 风险因素聚集并相互作用,形成风险预测得分的基础,如弗雷明汉风险得分.
- 新出现的证据强调了风险轨迹的重要性,而不仅仅是静态水平,在预测心血管疾病方面.
- 导致心血管疾病风险轨迹低于最佳或不稳定的因素仍未得到充分研究.
研究的目的:
- 调查与心血管疾病 (CVD) 风险轨迹相关的因素.
- 分析这些协会在一个半农村,多民族社区居住人口.
主要方法:
- 利用了来自东南亚社区观测中心队列的数据,在基线 (2013) 和随访 (2018) 测量了人口,社会经济,生活方式,心理健康和心血管因素.
- 计算了10年心血管疾病风险变化,并确定了不同的轨迹模式:改善,不变 (低,中等,高风险) 和恶化.
- 采用多变量回归分析来评估风险因素与弗雷明汉风险评分和预测心血管疾病风险轨迹的变化之间的关联.
主要成果:
- 在5年内,CVD风险在33.37%的参与者中增加;24.38%的人仍然处于高风险的轨迹中.
- 观察到显著的性别差异,女性心血管疾病风险增加较高,但男性在高风险集群中的比例较大.
- 马来族裔,未婚状态,全职工作,抑郁症状,低学历和频繁的外食与增加或持续的高心血管疾病风险有关.
结论:
- 社会人口统计学和心理健康因素与心血管疾病风险轨迹有不同的联系.
- 心理社会差异可能会加剧心血管疾病风险,特别是在服务不足的环境中.
- 持续监测心血管疾病风险和针对弱势群体的干预措施至关重要.
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