JAHA：心血管疾病死亡率与医保政策有关！

2021-03-04 MedSci原创 MedSci原创

JAHA：心血管疾病死亡率与医保政策有关！

不同种族/民族的心血管疾病(CVD)死亡率持续存在的差异与各地区医保政策以及社会经济、人口和行为因素有关。关于不同种族/民族的心血管疾病死亡率与地区因素之间的联系，研究较少，近期发表于Journal of the American Heart Association上的的一篇研究通过研究特定种族/民族的年龄调整后的心血管疾病死亡率(AAMR)与地区因素(包括人口统计学、人口普查地区、社会经济、心血管疾病危险因素和医保政策)之间的关系，发现年龄调整后的心血管疾病死亡率与地区因素之间有显著相关性。

该研究发现在2698个县中非西班牙裔白人死亡人数为659740人；在717个县中，非西班牙裔黑人死亡人数为100475人；在267个县中，西班牙裔/拉丁裔死亡人数为49493人。

非西班牙裔黑人的心血管疾病平均死亡率最高(每10万人中有32004人死亡)，而西班牙裔/拉丁裔人的平均死亡率最低(每10万人中有16842人死亡)。所有种族/族裔群体的CVD AAMR最高的是南方。

在未经调整的分析中，CVD AAMR的最大变异(R²)由非西班牙裔白人个人缺乏体育活动(32.3%)、非西班牙裔黑人个人的家庭收入(24.7%)和西班牙裔/拉丁裔个人的人口规模(28.4%)解释。

在使用县级因素的多变量回归分析中，非西班牙裔白人的心血管疾病危险因素(35.3%)、非西班牙裔黑人的社会经济因素(25.8%)和西班牙裔/拉丁裔个人的人口因素(34.9%)解释了CVD AAMR的最大变异。

图1 与年龄调整后的心血管疾病(CVD)死亡率关系最密切的地区因素

结论：不同种族/民族的年龄调整后的心血管疾病死亡率与地区因素 (包括人口统计学、人口普查地区、社会经济、心血管疾病危险因素和医保政策)之间有显著相关性，通过采取减少地区因素差异的干预措施可以降低心血管死亡率。

原文出处：

Zuma BZ, Parizo JT, Valencia A, Spencer-Bonilla G, Blum MR, Scheinker D, Rodriguez F. County-Level Factors Associated With Cardiovascular Mortality by Race/Ethnicity. J Am Heart Assoc. 2021 Mar 3:e018835. doi: 10.1161/JAHA.120.018835. Epub ahead of print. PMID: 33653083.

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2021-03-06 bioon3

#政策#

126 0
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2021-03-06 zhaohui6731

#AHA#

70 0
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2021-03-06 andy2090

#血管疾病#

71 0
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2021-03-04 ms4000000545202675

学习

136 0
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2021-03-04 zb1235672

学习了

121 0
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2021-03-04 医鸣惊人

认真学习了

130 0

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