区域级收入差异和第一次缺血性中风的时间:来自2019年全国住院患者样本的见解
Sonia Jahangiri1,2, Ajith Vemuri3, Alireza Vafaei Sadr1
1Department of Public Health Sciences, College of Medicine Pennsylvania State University Hershey PA USA.
Journal of the American Heart Association
|October 31, 2025
概括
低收入与早期的第一次缺血性中风有关,特别是在白人和女性中. 这突显了中风发病率和发病年龄的重大社会经济差异.
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:
- 社会经济地位显著影响健康结果,包括第一个缺血性中风的年龄.
- 调查收入与中风发病率之间的联系对于了解健康不平等至关重要.
研究的目的:
- 检查邮政编码水平中位数收入与第一次缺血性中风的年龄之间的关系.
- 根据社会经济地位,种族和性别,确定中风发病年龄的差异.
主要方法:
- 利用2019年国家住院样本数据库,识别了患有缺血性中风的18岁以上患者.
- 采用多变量线性回归,根据性别,种族,患者的位置和并发症进行调整.
- 分析了区域级收入对第一次缺血性中风的年龄的影响.
主要成果:
- 第一次缺血性中风的平均年龄为70.1岁;收入最低的个人比收入最高的人群中风早4.3年.
- 经过调整后,更高的收入与第一个缺血性中风发作延迟2.1年有关.
- 在种族和性别群体中观察到差异,白人和女性在较年轻时就患上中风.
结论:
- 较低的收入水平与第一个缺血性中风的年龄明显相关.
- 与社会经济地位相关的中风发病率差异显而易见,特别影响白人和女性.
- 需要进一步的研究来探索导致这些差异的潜在因素.
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