在更年期前的黑人和白人女性心脏代谢死亡
Rebecca Arden Harris1,2,3, Sameed Ahmed M Khatana2,4,5, Judith A Long2,5,6
1Penn Cardiovascular Institute, University of Pennsylvania, Philadelphia, PA USA.
心脏代谢性疾病 (CMD) 的死亡率在年轻的黑人女性中明显高于白人女性,在更年期之前出现. 解决这个问题需要更早的查和改善医疗保健准入,以减少差异.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心血管健康 心血管健康
背景情况:
- 美国的黑人女性从青春期开始经历心脏代谢疾病 (CMD) 的不成比例负担.
- 慢性肌痛疾病的死亡率经常与更年期错误地相关,可能会推迟干预.
研究的目的:
- 估计和比较25-44岁的黑人和白人女性中CMD死亡风险.
- 量化这些人口群体之间CMD死亡率的差异.
主要方法:
- 使用国家生命统计系统数据和生命表方法.
- 估计的累积风险,过度死亡率,比例死亡率和假设队列中丧失的生命年数 (YLL).
- 与非西班牙裔25至44岁的黑人和白人女性的队列大小与2022年美国人口相匹配.
主要成果:
- 与白人女性相比,黑人女性 (0.90%) 的累积CMD死亡率是黑人女性 (0.33%) 的2.74倍.
- 在这个年龄段的黑人女性中,超过63%的CMD死亡被认为是过度死亡.
- 在25至44岁的黑人女性中,CMD占死亡人数的20.13%,而在白人女性中占10.73%,黑人女性平均失去4.42个月的生命.
结论:
- 在更年轻的黑人妇女中,CMD死亡率显著增加,在更年期之前.
- 紧急干预,包括早期查,改善医疗保健准入和结构性变化,是缓解这些差异所必需的.
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