无家可归人口中的心血管疾病负担
Samhita Korukonda1, Nikith Erukulla2, Jeffrey R Harris3
1Department of Biological Sciences, Cornell University, Ithaca, New York, USA sk2826@cornell.edu.
与普通人群相比,无家可归的成年人患心血管疾病 (CVD) 的风险几乎增加了三倍. 这种高风险在所有人群中都存在,这凸显了针对性心脏干预的迫切需要.
科学领域:
- 公共卫生 公共卫生
- 心脏病学 心脏病学
- 社会医学 社会医学
背景情况:
- 心血管疾病 (CVD) 的负担在无家可归者中不断增加.
- 有助于这种情况的因素包括有限的医疗保健,心理健康障碍和物质使用.
- 对于这群弱势群体,心脏特异性干预措施存在显著的缺陷.
研究的目的:
- 系统地分析无家可归成年人心血管疾病的患病率和风险因素.
- 为了描述这一人口群体内的整体心血管疾病负担.
- 根据现有模型,提出新的心血管疾病特异性干预措施.
主要方法:
- 一个全面的系统审查和PubMed和Scopus研究的元分析.
- 包括评估无家可归人口的观察性研究.
- 主要结局的分析:死率,发病率和由于心血管疾病而入院的情况.
主要成果:
- 确定了22项研究,其中12项纳入了元分析,分析了超过226,000名成人的数据.
- 无家可归的成年人显示出显著更高的心血管疾病发病率和死亡率 (合并OR2.77;95%CI1.93-3.93).
- 根据年龄,性别和地区的子组分析没有显示心血管疾病风险的显著差异.
结论:
- 与普通人群相比,无家可归的成年人患心血管疾病的几率大约是心血管疾病的三倍.
- 患心血管疾病的高风险在各个人口亚组中是一致的.
- 调查结果强调了针对无家可归人口的有针对性的心血管疾病干预和政策制定的迫切需要.
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