一种新的累积社会优势指标,用于增强心血管健康结构和预测死亡风险
Erica P Wood1, Sarahy Martinez1, Marina Garcia Santos1
1Department of Epidemiology, Mailman School of Public Health, Columbia University Irving Medical Center, New York, NY, USA.
European journal of preventive cardiology
|December 1, 2025
概括
一个新的社会优势指标 (SAM) 显著预测死亡风险. 将SAM纳入心血管健康 (CVH) 评分可以提高预测能力,突出显示健康的社会决定因素对长寿的影响.
科学领域:
- 公共卫生和流行病学
- 健康研究的社会决定因素研究
- 心血管健康结果的结果
背景情况:
- 心血管健康 (CVH) 受健康的社会决定因素 (SDoH) 的影响.
- 目前的指导方针,如生活必需品8 (LE8) 不包括SDoH指标.
- 需要可测量的SDoH指标来评估它们对CVH的影响.
研究的目的:
- 评估社会优势指标 (SAM) 与死亡率的关联.
- 确定将SAM作为第九个指标是否提高了CVH得分的预测价值.
- 分析SAM在不同的人口群体的预测能力.
主要方法:
- 利用了46366名美国成年人的数据 (1999-2018年国家健康和营养检查调查).
- 根据九个SDoH指标开发了一个多维SAM评分.
- 采用多变量Cox比例危险模型来评估死亡风险和预测SAM和无SAM的CVH分数的性能.
主要成果:
- 较高的SAM分数与较低的全因和心血管死亡风险显著相关 (p趋势<0.001).
- 包括SAM在内的增强的CVH得分显示了与单独LE8得分相比的可比预测性能 (C-统计=0.835对比0.831).
- SAM与死亡率之间的关联因种族和种族而异,在白人和黑人成年人中观察到显著的预测.
结论:
- 结合社会优势指标 (SAM) 的增强CVH得分有效预测美国成年人的死亡率.
- 通过SAM测量健康的社会决定因素对于理解心血管健康结果至关重要.
- 需要进一步的研究来探索社会优势和弹性因素,特别是在西班牙裔成年人中.
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