收入水平与中国初级和二级中风预防的差异有关
Huiming Ren1, Junrong Ma2, Xu Guo1
1Department of Rehabilitation Medicine, Ningbo No. 2 Hospital, Ningbo, China.
Archives of medical science : AMS
|December 9, 2024
概括
收入水平影响中国中风预防. 低收入群体在戒烟和饮食方面扎,而高收入群体在酒精控制和血压管理方面面临挑战,两者都用于预防中风的药物使用量低.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 预防心血管疾病 预防心血管疾病
背景情况:
- 在全球范围内,中风仍然是导致残疾和死亡的主要原因.
- 社会经济因素,包括收入水平,显著影响健康行为和疾病预防策略.
- 了解这些差异对于制定有针对性的公共卫生干预措施至关重要.
研究的目的:
- 研究收入水平对中国人口中初级和二级中风预防的差异影响.
- 确定与各种收入层相关的特定风险因素和预防行为.
主要方法:
- 一项基于人口的研究,使用来自中国Kadoorie生物库 (n=512,715) 的数据,年龄在30-79岁之间.
- 确定了中风病例 (n=8,884) 和高危人群 (n=218,972).
- 分析收入水平与生活方式因素 (体育活动,饮食,吸烟,酒精) 与预防中风的药物使用之间的关联.
主要成果:
- 高收入与身体活动和健康饮食有正相关,但与酒精控制有负相关.
- 收入与吸烟控制和使用抗血小板/抗高血压药物进行初级预防有积极的关联.
- 在收入和血压控制之间发现了负相关性 (p < 0.001).
结论:
- 低收入人群的吸烟控制率,健康饮食遵守率和预防性药物使用率较低.
- 高收入人士控制酒精消耗和血压的可能性较低.
- 在高收入参与者中,初级和二级中风预防的药物使用量显著较低,这凸显了跨收入层面进行量身定制干预的必要性.
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