加勒比地区心血管风险因素升高和慢性病死亡率:一项跨部门研究
1Illinois College of Osteopathic Medicine, The Chicago School, Chicago, Illinois, United States of America.
PLOS global public health
|September 19, 2025
概括
加勒比地区的心血管疾病 (CVD) 死亡率高于北美地区,尽管风险行为较少. 不一致的卫生政策和护理差距有助于这些差异.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心脏病学 心脏病学
背景情况:
- 心血管疾病 (CVD) 是加勒比地区过早死亡的主要原因.
- 加勒比地区的心血管疾病死亡率超过北美地区,与全球趋势相反.
研究的目的:
- 检查非拉丁加勒比国家中特定于性别的心血管疾病死亡率,风险因素和卫生政策指标.
- 为了比较加勒比海和北美 (美国和加拿大) 的心血管疾病结果和危险因素.
主要方法:
- 利用了来自2019年泛美卫生组织 (PAHO) Enlace Portal的数据.
- 进行了对心血管疾病死亡率,胆固醇比率,高血压患病率和政策指标的比较分析.
主要成果:
- 加勒比国家心血管疾病死亡率 (196.7/100,000) 比北美 (122.6/100,000) 高.
- 在加勒比地区的男性和女性中,总胆固醇与HDL胆固醇的比率明显较高.
- 加勒比地区妇女患高血压心脏病的死亡率更高,加勒比地区男性患未诊断高血压的比例更高.
结论:
- 加勒比地区不一致的非传染性疾病 (NCD) 政策实施和获得心血管疾病药物治疗加剧了健康差异.
- 为了减少加勒比海地区的心血管疾病死亡率,迫切需要对预防,政策执行和文化定制的战略进行区域投资.
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