巴西和塞内加尔的一项以人口为中心的城市高血压计划中的中风结果
Jose Maria E Ferrer1, Johannes Boch2, Ann Aerts2
1American Heart Association Dallas Texas USA.
Journal of the American Heart Association
|April 16, 2025
概括
实施 CARDIO4Cities 倡议在塞内加尔和巴西的城市地区显著减少了中风住院和死亡. 这种多部门的血压控制方法显示出对心血管健康结果的快速,积极的影响.
科学领域:
- 公共卫生 公共卫生
- 心血管流行病学心血管流行病学
- 全球卫生倡议全球卫生倡议
背景情况:
- 在全球范围内,中风仍然是导致死亡的主要原因,特别是在低收入和中等收入国家.
- 针对血压控制的多方面的策略对于减轻全球中风负担至关重要.
- 城市环境为心血管健康干预提供了独特的挑战和机会.
研究的目的:
- 评估多部门城市心血管健康倡议 (CARDIO4Cities) 对中风结果的影响.
- 评估干预后在塞内加尔达喀尔和巴西圣保罗的中风住院和死亡率趋势.
- 确定人口层面干预措施在降低心血管风险和改善高血压管理方面的有效性.
主要方法:
- 利用中断时间序列分析和细分回归来分析中风结果的时间趋势.
- 采用了通用线性模型来评估中风住院的相对风险.
- 比较了圣保罗的干预和控制区,分析了干预前,干预和后续期间 (2016-2021) 的数据.
主要成果:
- 达卡尔和圣保罗都观察到年龄标准化中风住院率的显著下降 (达卡尔:-26%;圣保罗:-54%).
- 在干预期间,中风死亡率也在这两个城市下降.
- 在圣保罗,干预区的中风住院风险比干预后的对照区域低24.5%.
结论:
- 多部门 CARDIO4Cities 倡议证明了与中风结果的积极趋势的相关性.
- 针对心血管风险降低和高血压管理的人口层面干预措施可以迅速减少中风住院和死亡率.
- 这项研究强调了综合城市健康倡议的潜力,以应对全球中风负担.
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