食物沙漠居住与缺血性中风风险之间的关联:基于人口的研究
Christopher J Becker1, Janaki Patel2, Heidi Sucharew3
1Stroke Program, University of Michigan, Ann Arbor.
Neurology
|August 11, 2025
概括
生活在食物沙漠 (FDs) 增加了中风风险,主要是由于低收入,不仅仅是有限的食物获取. 了解这些因素是减少弱势群体中风发病率的关键.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心血管疾病研究研究
背景情况:
- 食物沙漠 (FDs) 的特点是低收入和有限的健康食品.
- 居住在FD的居民表现出更高的心血管风险因素.
- FD和中风发病率之间的关联需要进一步调查.
研究的目的:
- 评估居住在食物沙漠中的生活与发生的缺血性中风之间的关联.
- 确定低收入或食物供应不足是否是这种关联的主要驱动因素.
主要方法:
- 利用大辛辛那提/北肯塔基中风研究 (GCNKSS) 2015年住院中风病例的数据.
- 地理编码的患者地址和使用美国农业部食品获取研究图谱的定义识别的FD.
- 采用波桑回归模型来根据FD状态,收入和食物获取情况分析中风发病率,并对共变量进行调整.
主要成果:
- 总共有1,802例首次缺血性中风被确定.
- 未经调整的分析显示,FD居民中风发病率较高 (IRR为1.23).
- 在完全调整后,较低的区域收入与中风发病率的增加显著相关 (IRR 1.21),而食物供应不足则没有 (IRR 0.91).
结论:
- 食物沙漠居住与中风风险增加有关,主要是由于地区收入低.
- 在这项研究中,仅仅食物供应不足并不是中风发病率的重要预测因素.
- 需要对食品环境指标进行进一步的研究,以澄清收入,饮食和中风风险之间的联系.
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