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社会风险因素的累积负担和10年生活质量的变化
Ro-Jay Reid1, Monika Safford1, W Marcus Lambert2
1Department of Medicine, Weill Cornell Medicine, New York, New York, USA.
概括
更多的社会风险因素会显著增加黑人和白人随着时间的推移生活质量下降的风险,特别是影响心理健康结果.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 健康差异 在健康上的差异
背景情况:
- 社会风险因素被认为是对不良健康结果的贡献者.
- 社会风险因素对长期生活质量的累积影响仍然不完全理解.
- 这项研究调查了社会风险因素负担与生活质量下降之间的关联.
研究的目的:
- 确定社会风险因素数量的增加是否与10年内生活质量的更大下降有关.
- 为了检查这些协会单独对身体和心理健康的组成部分.
- 评估黑人和白人参与者之间影响的潜在差异.
主要方法:
- 利用了来自"脑卒中地理和种族差异原因" (REGARDS) 研究的数据,其中包括14,501名黑人和白人参与者.
- 评估了每个参与者的社会风险因素数量.
- 检查了社会风险因素计数与物理组件总结 (PCS) 和心理组件总结 (MCS) 评分下降超过5个点之间的关联,来自简单形式-12 (SF-12) 健康调查.
主要成果:
- 对于身体组件总结 (PCS),具有两个或两个以上社会风险因素的个体显示下降的相对风险 (RR) 增加 (白色:RR=1.26;黑色:RR=1.24).
- 对于心理组件总结 (MCS),具有两个或两个以上社会风险因素的人的衰退风险显著更高 (白色:RR=1.47;黑色:RR=1.38).
- 这些关联在调整人口统计,健康行为,医疗状况,药物和生理变量后仍然存在.
结论:
- 增加的社会风险因素数量与黑人和白人生活质量下降的风险显著增加有关.
- 对心理健康组件总结分数的影响尤其明显.
- 研究结果强调了解决健康的社会决定因素的重要性,以改善长期的生活质量.
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