使用NHANES调查探索健康和勃起功能障碍的社会决定因素之间的关系
Xuefeng Lu1,2, Luhang Bao3, Zhichang Jin1,2
1Department of Urology, Ningbo Urology and Nephrology Hospital, Ningbo, Zhejiang, China.
Medicine
|December 10, 2025
概括
健康的社会决定因素 (SDoH) 在美国男性中显著影响勃起功能障碍 (ED) 风险. 不良的SDoH,包括失业和低收入,独立地与ED增加的可能性有关.
科学领域:
- 公共卫生 公共卫生
- 男人的健康 男人的健康
- 社会学 社会学 社会学
背景情况:
- 勃起功能障碍 (ED) 是一种影响男性性健康的常见疾病.
- 社会因素越来越多地被认为是ED的潜在贡献者.
- 了解健康的社会决定因素 (SDoH) 的作用对于全面的ED管理至关重要.
研究的目的:
- 研究美国男性的健康累积社会决定因素 (SDoH) 和勃起功能障碍 (ED) 之间的关联.
- 确定与ED独立相关的特定SDoH.
- 探索SDoH和ED之间的剂量反应关系.
主要方法:
- 采用国家健康和营养检查调查 (2003-2004) 数据进行的横截面研究.
- 包括1858名20岁及以上的美国男性.
- 评估SDoH包括失业,收入,教育,医疗保健和婚姻状况,为不利条件分配分数. ED是自我报告的. 进行了多变量逻辑回归和受限立方线分析.
主要成果:
- 累积不利的SDoH得分与ED有显著的关联 (OR=1.19,95% CI:1.03-1.37).
- 观察到一种非线性关系,截止值为2SDoH,表明风险增加 (波华尔<0.001,非线性=0.046).
- 失业率 (OR=1.59),家庭收入与贫困比率<300% (OR=1.60) 和高中教育以下的教育 (OR=1.75) 发现了与ED的独立关联.
结论:
- 健康不良的社会决定因素 (SDoH) 与美国男性勃起功能障碍 (ED) 的风险增加有显著联系.
- 失业,低收入和低教育水平等特定因素是ED的关键独立预测因素.
- 解决SDoH对于开发有效的预防和管理ED策略至关重要.
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