较低的社会经济地位与首次中风发生率有关:澳大利亚全州记录联系研究
Tan V Bui1, Yichao A Sun1, Katherine Chappell1
1Menzies Institute for Medical Research, University of Tasmania, Hobart, TAS, Australia.
概括
较低的社会经济地位 (SES) 与澳大利亚首次中风发病率较高有关. 建议针对弱势群体中风风险因素的公共卫生战略,以减少中风的发生.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 社会经济地位 (SES) 是已知的中风风险因素.
- 关于澳大利亚SES中风发病率的研究有限.
- 这项研究调查了塔斯马尼亚州SES级别中脑卒中发生率.
研究的目的:
- 检查与社会经济地位 (SES) 相关的首次中风的发生率.
- 为了确定澳大利亚不同SES群体中中风发病率的差异.
主要方法:
- 使用链接的塔斯马尼亚健康记录 (2007-2020) 的回顾性队列研究.
- 使用ICD-10代码识别了首次中风 (2015-2020年).
- 使用相对社会经济优势和劣势指数 (IRSD) 五分位数和Poisson回归分析了SES.
主要成果:
- 4901例首次确诊的中风病例;其中63%是缺血性.
- 较低的SES群体表现出较高的中风风险因素,如缺血性心脏病,糖尿病和高血压.
- 年龄标准化中风发生率为134/100,000人.
- 首次中风的发病率比率 (IRR) 在低中等 (1.20) 和低 (1.33) SES 组相比高SES 组显著更高.
结论:
- 较低社会经济地位 (SES) 群体中的个人经历了首次中风的更高发病率.
- 针对性公共卫生和初级保健干预措施,以解决较低SES人群中中风风险因素,对于降低中风发病率至关重要.
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