社会经济地位与事件高血压住院和血压控制在冠状动脉风险发展在年轻人 (心脏病) 研究的参与者之间的社会经济地位的关联
Lama Ghazi1, Cora E Lewis1, Byron C Jaeger2
1Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
American journal of hypertension
|November 26, 2025
概括
低社会经济地位显著增加了美国成年人高血压住院的风险. 一半的住院患者在出院后血压失控,这突显了严重的公共卫生问题.
科学领域:
- 心血管健康 心血管健康
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 在美国成年人中,高血压住院病例正在上升.
- 低社会经济地位与高血压 (BP) 和住院风险增加有关.
- 退院后的不良结果是高血压患者的一个担忧.
研究的目的:
- 调查社会经济地位和高血压住院治疗之间的关联.
- 为了评估高血压住院后不受控制的血压的患病率.
主要方法:
- 从年轻成年人冠状动脉风险发展 (CARDIA) 队列研究 (N=5,115) 的数据分析.
- 通过自我报告和医疗记录识别的住院病例,截至2020年8月.
- 社会经济因素包括教育,收入,保险和社区贫困;不受控制的BP定义为≥140/90mmHg.
主要成果:
- 教育程度较低,收入低 (<25000美元),没有私人保险,邻里贫困程度较高的人面临着显著更高的高血压住院风险 (HRs从2.43到3.12不等).
- 在46名出院后访问的参与者中,50%的血压不受控制 (≥140/90 mmHg).
结论:
- 低社会经济地位是高血压住院的重要风险因素.
- 在高血压住院后,失控的血压非常普遍,这表明需要改善出院后的护理.
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