社会经济地位和突发心脏病死亡:丹麦全国性研究
Toke Stahl Jacobsen1, Tobias Skjelbred1, Lars Køber1
1Department of Cardiology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
概括
较低的收入和教育水平与较高的全因死亡率 (ACM) 和突然心脏死亡 (SCD) 风险有关. 即使考虑其他健康状况时,这些差异仍然存在,突出了心血管健康的社会经济因素.
科学领域:
- 公共卫生 公共卫生
- 心脏病学 心脏病学
- 社会学 社会学 社会学
背景情况:
- 社会经济地位 (SEP) 是已知的健康结果的决定因素.
- 了解SEP对死亡率的具体影响,特别是突然心脏病死亡 (SCD),对于公共卫生干预至关重要.
研究的目的:
- 调查社会经济地位 (收入和教育) 与所有原因死亡率 (ACM) 和突发心脏病死亡 (SCD) 的发生率之间的关联.
主要方法:
- 丹麦2010年的一项全国性研究包括53,452例死亡.
- 根据家庭收入和教育水平来评估社会经济地位.
- 考克斯回归模型被用来计算危险率,根据年龄,性别和并发症进行调整.
主要成果:
- 随着社会经济地位较低,ACM和SCD的发病率增加.
- 与受过高等教育的人相比,受过低教育的人的SCD发病率是SCD的5.1倍.
- 较低的收入和教育水平独立地与ACM和SCD的显著更高风险有关.
结论:
- 社会经济地位 (收入,教育) 与ACM和SCD的风险之间存在反向关系.
- 这些社会经济差异的死亡风险持续不管基线共患病.
- 需要进一步的研究和有针对性的战略来解决医疗保健和心血管结果的社会经济不平等问题.
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