美国亚裔群体中心血管疾病亚型的死亡率
Nilay S Shah1, Xin Tong2, Fleetwood Loustalot2
1Division of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
心血管疾病 (CVD) 亚型的死亡率在美国的亚裔族群之间有很大差异. 汇总数据掩盖了这些关键差异,突出了公共卫生战略中需要进行子组分析的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心血管研究研究心血管研究
背景情况:
- 心血管疾病 (CVD) 是全球主要的死亡原因.
- 以前的研究往往聚合了多样化的亚洲人口,可能掩盖了重大的健康差异.
- 了解特定亚洲族裔小组内的心血管疾病死亡率对于有针对性的干预至关重要.
研究的目的:
- 分析美国亚裔人口中详细的心血管疾病 (CVD) 亚型的当代死亡率.
- 为了确定不同亚洲亚组中心血管疾病死亡率的变化.
主要方法:
- 利用了2018-2022年18岁及以上的非西班牙裔亚洲死者的重要统计数据.
- 特定心血管疾病亚型的计算年龄标准化死亡率 (ASMR):缺血性心脏病,脑血管疾病,心力衰竭,心律失常,高血压性心脏病,膜性心脏病和肺性心脏病.
- 计算速度比率,以比较亚洲个体群体中的ASMR与亚洲总人口的比率.
主要成果:
- 在所有分析的心血管疾病亚型中,菲律宾成年人呈现的ASMR比整个亚洲人口高.
- 亚洲印第安人成年人在大多数心血管疾病亚型中显示出更高的ASMR,除了膜和脑血管疾病的例外.
- 日本成年人心力衰竭和膜心脏病的ASMR升高,而越南成年人脑血管疾病的ASMR升高.
- 中国和韩国成年人的ASMR总体可比或低于亚洲总体平均水平.
结论:
- 亚洲成年人的综合心血管疾病死亡率数据隐藏了不同族群风险的关键差异.
- 公共卫生倡议和研究应考虑亚洲人口中的异质性,以有效解决心血管疾病问题.
- 需要量身定制的策略来缓解美国特定亚洲亚组之间的心血管疾病差异.
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