社区层面的社会脆弱性与高血压结果之间的关联
John E Brush1, Chungsoo Kim2, Yuntian Liu3
1Sentara Health Research Center, Sentara Health, Norfolk, Virginia, USA; Macon & Joan Brock Virginia Health Sciences at Old Dominion University, Norfolk, Virginia, USA.
JACC. Advances
|July 8, 2025
概括
社区的社会脆弱性与高血压患者心血管状况的恶化有关. 解决社会脆弱性可能有助于减少种族差异,改善血压控制.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 健康的社会决定因素
背景情况:
- 在社区层面的社会脆弱性与高血压和心血管问题有关.
- 它对高血压患者心血管并发症的影响尚未得到充分研究.
研究的目的:
- 调查社区级社会脆弱性指数 (SVI) 对心血管结果的影响.
- 分析大量多样化的高血压患者队列的结果.
主要方法:
- 利用了大量高血压队列 (330972名患者) 的电子健康数据.
- 检查了人口普查通道级SVI排名与复合心血管终点 (心肌梗塞,心力衰竭,中风) 之间的关联.
- 根据人口统计,BMI,血压和并发症进行调整.
主要成果:
- 较高的SVI与心血管事件的增加有显著的关联 (HR 1.31对于最弱势者与最不弱势者).
- 在高SVI地区 (70.3%与74.8%) 观察到血压控制较差.
- 高SVI的地区有不成比例的黑人人口 (53.8%).
结论:
- 社区社会脆弱性与高血压患者的不良心血管结果和降低血压控制密切相关.
- 社会脆弱性可能会导致高血压结果的种族差异.
- 社会脆弱性指数可以为高血压管理提供有针对性的干预措施.
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