心理风险暴露是否会增加中国中年人群中动脉斑块检测率? 一个潜在的类和回归分析分析
Xinyu Gou1, Shenglan Yang1, Limei Chen1
1School of Nursing, Shanghai University of Traditional Chinese Medicine, 1200 Cai Lun Road, Shanghai 201203, China.
European journal of cardiovascular nursing
|April 23, 2025
概括
心理风险因素,包括焦虑和抑郁症,显著增加了中国成年人动脉斑块的可能性. 解决这些心理健康方面可能会改善心血管疾病风险评估.
科学领域:
- 心血管健康 心血管健康
- 心理医学 心理医学
- 流行病学 流行病学
背景情况:
- 冠状动脉斑块是心血管事件的重要危险因素.
- 人们越来越认识到心理因素对身体健康的影响.
- 在中年中国成年人中,心理风险与动脉斑块之间的关联需要进一步调查.
研究的目的:
- 为了调查心理风险暴露和动脉斑块检测之间的关联.
- 确定心理因素是否是中国中年人群中动脉斑块的独立预测因素.
主要方法:
- 利用了来自One Cardiovascular Health Study的基线数据,这是一个前性队列.
- 通过使用隐性类分析评估焦虑症状,抑郁症状和感知压力的心理风险.
- 采用了多次调整的回归模型来分析心理风险类别和动脉斑块之间的关联.
主要成果:
- 这项研究包括1301名参与者 (79.55%为女性,平均年龄为37.01±5.59),患上4.1%的状腺斑块率.
- 与低风险相比,较高的心理风险与动脉斑块 (OR: 3.744,P = 0.003) 的几率增加显著相关.
- 心理风险提高了一个复合模型的预测准确度,用于检测动脉斑块.
结论:
- 心理风险暴露是中国中年成年人动脉斑块检测的独立贡献者.
- 将心理风险评估与传统因素相结合,可以提高动脉斑块诊断的准确性.
- 对于查策略和针对心血管健康心理风险的干预措施,需要进一步的研究.
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