青春期前期的社会人口学因素和心血管健康在低收入和种族和种族多样性的儿童中
Subin Jang1,2, Lenora Goodman1, Nancy E Sherwood1
1Division of Epidemiology and Community Health University of Minnesota School of Public Health Minneapolis MN USA.
Journal of the American Heart Association
|October 23, 2025
概括
幼儿时期的社会经济因素显著影响青春期前心血管健康 (CVH). 处境不利的背景与较低的CVH有关,这表明需要改善公共卫生干预措施来长期改善儿童健康.
科学领域:
- 儿科心血管健康 儿童心血管健康
- 健康的社会决定因素
- 童年早期的发展发展.
背景情况:
- 研究了早期儿童社会人口统计因素与青春期前心血管健康 (CVH) 之间的联系.
- 专注于来自低收入,种族和种族多样化家庭的儿童队列.
- 使用了美国心脏协会生命必需的8个指标,不包括睡眠.
研究的目的:
- 检查幼儿社会人口统计因素与青春期前心血管健康之间的关联.
- 确定影响儿童长期心血管健康的健康的特定社会决定因素.
- 评估当前公共卫生策略在缓解早期生活不利因素方面的有效性.
主要方法:
- 对NET-Works和NET-Works 2研究的二次数据分析.
- 包括268名儿童,从2-4岁跟踪到青春期前 (7-11岁).
- 修改Poisson回归模型评估了基线社会人口统计因素和青春期前的CVH得分之间的关系.
主要成果:
- 较高的家庭收入 (35k-$64.9k vs. <$15k),父母教育 (学士学位+) 和特定的社会保障入学率与高的CVH相关.
- 非西班牙裔白人种族也与更高的青春期前CVH有关.
- 关键的CVH成分包括更低的BMI百分位数,更低的胆固醇,更高的体力活动和更好的饮食质量.
结论:
- 早期的社会经济劣势会在不同的低收入人群中对青春期前心血管健康产生负面影响.
- 目前的公共卫生预防工作不足以克服长期的心血管健康差异.
- 应对幼儿时期社会劣势的干预措施对于改善长期CVH至关重要.
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