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European journal of cardiovascular research最新文献

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Social Determinants of Myocardial Infarction Risk and Survival: A Systematic Review. 心肌梗死风险和生存的社会决定因素:一项系统综述。
Pub Date : 2020-01-01 Epub Date: 2020-09-18 DOI: 10.31487/j.ejcr.2020.01.02
Steven S Coughlin, Lufei Young

Social determinants of health that have been examined in relation to myocardial infarction incidence and survival include socioeconomic status (income, education), neighbourhood disadvantage, immigration status, social support, and social network. Other social determinants of health include geographic factors such as neighbourhood access to health services. Socioeconomic factors influence risk of myocardial infarction. Myocardial infarction incidence rates tend to be inversely associated with socioeconomic status. In addition, studies have shown that low socioeconomic status is associated with increased risk of poorer survival. There are well-documented disparities in myocardial infarction survival by socioeconomic status, race, education, and census-tract-level poverty. The results of this review indicate that social determinants such as neighbourhood disadvantage, immigration status, lack of social support, and social isolation also play an important role in myocardial infarction risk and survival. To address these social determinants and eliminate disparities, effective interventions are needed that account for the social and environmental contexts in which heart attack patients live and are treated.

已研究的与心肌梗死发病率和生存率相关的健康社会决定因素包括社会经济地位(收入、教育)、邻里劣势、移民身份、社会支持和社会网络。健康的其他社会决定因素包括地理因素,如邻里获得保健服务的机会。社会经济因素影响心肌梗死的风险。心肌梗死发病率与社会经济地位呈负相关。此外,研究表明,低社会经济地位与较差生存的风险增加有关。有充分的证据表明,心肌梗死存活率因社会经济地位、种族、教育程度和人口普查地区的贫困程度而存在差异。本综述的结果表明,社会决定因素,如邻里不利、移民身份、缺乏社会支持和社会孤立,也在心肌梗死风险和生存中发挥重要作用。为了解决这些社会决定因素并消除差异,需要采取有效的干预措施,考虑到心脏病发作患者生活和治疗的社会和环境背景。
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引用次数: 17
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European journal of cardiovascular research
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