枪支事件和心血管疾病死亡率:一项人口普查-通道水平的研究研究
Esther Lee1, Wenchu Pan2, Lu Wang2
1Department of Health Behavior and Health Equity, University of Michigan School of Public Health, Ann Arbor, MI, United States; Department of Biostatistics, University of Michigan School of Public Health, Ann Arbor, MI, United States.
密歇根州人口普查区的枪支事件与与压力相关的心血管疾病 (CVD) 死亡人数的增加有关. 更高的枪支暴力与更高的心血管疾病死亡风险相关,突出了公共卫生问题.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 环境健康 环境健康
背景情况:
- 枪支伤害是美国的主要公共卫生问题.
- 枪支暴力与慢性疾病,特别是心血管疾病 (CVD) 之间的联系尚未得到充分研究.
- 心血管疾病是全国和密歇根州的主要死亡原因.
研究的目的:
- 检查密歇根州人口普查区级枪支事件与与压力相关的心血管疾病死亡率之间的关联.
- 了解枪支暴力作为影响心血管健康的局部环境因素.
主要方法:
- 利用密歇根州事件犯罪报告系统和死亡记录 (2017-2021) 的数据.
- 分析了密歇根州六个县的故意枪支事件和心血管疾病死亡.
- 采用多层次物流回归,根据个人和通道层面的因素进行调整.
主要成果:
- 在人口普查中,枪支事件与与压力相关的心血管疾病死亡率的更高概率有显著的关联.
- 每个人口普查区每年增加10起枪支事件,就会使与压力相关的心血管疾病死亡的几率增加1.6%.
- 在控制城市化,贫困和个人风险因素后,这种关联仍然存在.
结论:
- 在高枪支暴力人口普查区的居民面临高压力相关心血管疾病死亡率的累积风险.
- 枪支暴力应该被认为是心血管健康的局部环境决定因素.
- 对心血管疾病结果的全面理解和改进需要考虑多层次因素.
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