社会风险概况,心血管风险因素控制和未来心血管风险之间的关联
Yijing Xin1, Siqi Lyu1, Jingyang Wang1
1Emergency Center, State Key Laboratory of Cardiovascular Disease of China, National Center for Cardiovascular Diseases, National Clinical Research Center of Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100037, China.
社会风险概况 (SRP) 影响心血管风险因素控制. 更高的SRP与更好的血压和葡萄糖管理有关,但脂质控制较差. 控制更多的风险因素可以降低死亡风险,特别是在较低的SRP群体中.
科学领域:
- 公共卫生 公共卫生
- 心血管疾病流行病学
- 健康的社会决定因素
背景情况:
- 社会风险概况 (SRP) 越来越被认为是影响健康结果的重要因素.
- 了解SRP,心血管风险因素控制和死亡率之间的相互作用对于有针对性的干预至关重要.
研究的目的:
- 调查社会风险概况 (SRP) 与严格控制心血管风险因素之间的横截面关联.
- 检查不同SRP等级的控制心血管风险因素和心血管死亡率之间的潜在关联.
主要方法:
- 分析了来自12695名参与国家健康和营养检查调查 (NHANES) (2005-2018) 的数据.
- 使用后勤回归来评估SRP与心血管风险因素控制的关系.
- 卡普兰-梅尔曲线和考克斯回归模型分析了SRP等级中受控风险因素和结果发生率之间的关联.
主要成果:
- 与SRP较低的人相比,高SRP的个体具有更高的严格血压 (OR=1.996) 和血糖控制 (OR=1.797) 的几率.
- 相反,高SRP与严格的脂质控制的几率较低有关 (OR=0.810).
- 控制两个或三个心血管风险因素显著降低了所有原因和心血管死亡风险,相比控制没有 (P<0.05).
结论:
- SRP等级与严格的血压和葡萄糖控制正相关,但与脂质控制负相关.
- 更好地控制心血管风险因素与降低死亡风险有关.
- 较低的SRP等级放大了心血管风险因素控制的死亡风险降低益处.
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