社会经济地位和中风之间的关系:一个观察和网络门德尔随机化研究
Ruijie Zhang1, Liyuan Han2, Shan Xu3
1Department of Clinical Epidemiology, Ningbo No.2 Hospital, Ningbo, Zhejiang, 315000, China; Center for Cardiovascular and Cerebrovascular Epidemiology and Translational Medicine, Guoke Ningbo Life Science and Health Industry Research Institute, Ningbo, Zhejiang, 315010, China; School of Public Health, Southeast University, Nanjing, Jiangsu, 210009, China.
概括
更高的社会经济地位 (SES) 与中风风险降低有关,高血压起着关键的调解作用. 这些发现凸显了针对性干预的必要性,以降低低SES人口中卒中发生率.
科学领域:
- 流行病学 流行病学
- 遗传学 是一个遗传学.
- 公共卫生 公共卫生
背景情况:
- 社会经济地位 (SES) 和中风风险之间的联系是有争议的,不清楚的介导因素.
- 了解这种关系对于制定有效的公共卫生战略至关重要.
研究的目的:
- 调查SES和中风之间的因果关系,包括亚型.
- 确定可修改的风险因素,这些风险因素介于SES和中风之间的关联.
主要方法:
- 利用英国生物库数据从372,437名参与者超过12.13年.
- 采用了考克斯的比例危险模型和两个样本的门德尔随机化 (MR).
- 网络MR被用来评估风险因素的调解作用.
主要成果:
- 更高的收入和教育水平与中风和缺血性中风的风险明显降低有关.
- 高血压成为主要的调解者,解释了SES-中风关联的很大一部分.
- 具体来说,高血压占收入对中风的影响的57.12%,收入对缺血性中风的影响的51.24%.
结论:
- 较高的SES因果关系与中风和缺血性中风风险降低.
- 针对高血压的干预措施对于在较低的SES群体中减轻中风风险至关重要.
- 调查结果强调了解决中风预防工作中的社会经济差异的重要性.
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