产前心肌病和社会脆弱性:对死亡率结果的流行病学分析
Mahek Shahid1, Ramzi Ibrahim1, Tazeen Ulhaque2
1Department of Medicine University of Arizona Tucson Tucson AZ USA.
Journal of the American Heart Association
|October 25, 2024
概括
社会脆弱性显著影响周周心肌病 (PPCM) 死亡率,在黑人人口和美国南部县观察到的比率更高. 增加的社会脆弱性与全国的过度PPCM死亡率有关.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 产前心肌病 (PPCM) 的结果受人口和社会因素的影响.
- 社会脆弱性指数 (SVI) 量化了美国的社会脆弱性.
- 之前的研究表明,PPCM结果与社会人口因素之间存在联系.
研究的目的:
- 调查美国PPCM死亡率的差异.
- 确定SVI对PPCM相关死亡率的影响.
- 确定受PPCM影响不成比例的特定人群和地理区域.
主要方法:
- 利用疾病预防控制中心的死亡率,SVI和人口统计数据数据库 (1999-2020年).
- 将特定县的SVI排名与PPCM年龄调整的死亡率 (AAMR) 联系起来.
- 将美国各县分为低SVI和高SVI组,并采用波桑回归来分析过剩的死亡率和比率比率.
主要成果:
- 在1999年至2020年期间,确定了1026例PPCM死亡,AMR趋势不断增加.
- 黑人人口 (AAMR: 1.081) 和美国南部县 (AAMR: 0.444) 呈现出最高的AAMR.
- 较高的SVI与每10万人/年 (RR=1,800) 的0.172个过度死亡有关,特别是在黑人人口和南部地区.
结论:
- 在美国的种族和地理人口中,PPCM死亡率存在显著差异.
- 更大的社会脆弱性显然与全国范围内增加的PPCM死亡率有关.
- 针对社会脆弱性的有针对性的干预措施可以减轻PPCM结果差异.
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