在老年人中,空间社会两极化与高血压之间的关联
Hoda S Abdel Magid1, Samuel Jaros2, Gina S Lovasi3
1Department of Population and Public Health Sciences, University of Southern California, Los Angeles, California, USA hmagid@usc.edu.
Journal of epidemiology and community health
|March 24, 2025
概括
社会经济两极分化与黑人和白人成年人的高血压有关. 减少这种两极分化可能有助于减少贫困社区心血管健康差异.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康的社会决定因素
背景情况:
- 研究了黑人和白人成年人的社会经济两极分化和血压结果之间的关联.
- 使用心血管健康研究 (CHS) 和研究中风地理和种族差异的原因 (REGARDS) 的数据.
- 验证了空间社会两极化 (SSP) 的联合种族/民族和收入指标优于单一领域的指标.
研究的目的:
- 研究社会经济两极分化和高血压之间的关系.
- 评估与空间社会两极化 (SSP) 相关的血压结果.
- 为了比较SSP的联合与单域测量的有效性.
主要方法:
- 一个回顾性队列的横截面分析,将CHS和REGARDS数据结合起来.
- 包括5888名CHS参与者 (≥65岁) 和30183名REGARDS参与者 (≥45岁).
- 用极端度指数测量SSP在邮政编码,人口普查区和各个领域的县级,包括联合种族/种族和收入.
主要成果:
- 研究样本 (N=36,071) 的平均年龄为66岁,56%为女性,63%为白人/其他人群,85%至少有高中教育.
- 26%的参与者患有高血压,平均静缩血压为129毫米升.
- 人口普查通道层面的分析显示,低收入黑人地区的高血压概率高出25%,平均静脉压高出1.8毫米度,与高收入白人地区相比.
结论:
- 增加的空间社会两极化 (SSP) 与高血压和心血压升高的风险有关.
- 研究和减少社会经济两极分化可能有助于缓解心血管健康差异.
- 调查结果强调了解决社会经济因素的重要性,以改善贫困社区的健康结果.
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