地区贫困和过早的心血管死亡率:韩国一项全国性基于人口的研究
Eunji Kim1, Hokyou Lee2, Donald Lloyd-Jones3
1Department of Preventive Medicine, Gachon University College of Medicine, Incheon, Korea (the Republic of).
BMJ public health
|February 28, 2025
概括
以区域贫困指数 (ADI) 衡量的社会经济劣势与韩国过早心血管疾病 (CVD) 死亡率较高有关. 贫困的大都市地区的风险特别高,强调需要有针对性的预防策略.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心血管疾病研究研究
背景情况:
- 心血管疾病 (CVD) 负担的区域差异显而易见.
- 地区贫困是需要进一步调查的潜在因素.
- 本研究探讨了区域贫困指数 (ADI) 与心血管疾病过早死亡率之间的联系.
研究的目的:
- 调查区域剥夺与心血管疾病过早死亡之间的关联.
- 量化贫困地区的过度死亡风险.
- 探索这种协会的区域差异.
主要方法:
- 一项基于人口的研究,使用2020年韩国人口普查数据.
- 区域贫困指数 (ADI) 基于250个市镇的10个社会经济指标计算.
- 根据性别和年龄标准化的心血管疾病和亚型 (65岁以下) 的死亡率,以城市化和医疗保健准入为准.
主要成果:
- 与最贫困地区相比,最贫困地区的心血管疾病死亡率 (41.6%的过剩) 显着更高.
- 缺血性心脏病 (30.3%),其他心脏病 (60.7%) 和脑血管疾病 (36.9%) 的风险较高.
- ADI与心血管疾病过早死亡之间的关联在大都市地区更强,即使调整了医院密度.
结论:
- 在社会经济上处于不利地位的地区面临着更大的心血管疾病过早死亡的风险.
- 预防心血管疾病的策略必须考虑区域差异.
- 针对性干预对于降低贫困大都市地区的心血管疾病负担至关重要.
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