1990-2006年美国q -波型和非q -波型心肌梗死住院和住院死亡率的长期趋势

S. Zandi, R. Rajabi
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引用次数: 1

摘要

目的:建立社会经济地位与健康的关系。然而,将社会经济地位与不良健康结果联系起来的根本机制尚未确定。我们假设不良姿势——作为总体健康的一个风险因素——与社会经济地位直接相关,因此最终会影响健康。材料与方法:采用横断面设计,对100例7-11岁儿童进行有代表性的整群抽样,检查后凸、前凸、头肩姿势。从父母那里收集社会经济地位数据。采用SPSS 18版Logistic回归模型进行分析(α=0.05)。结果:68%的儿童出现不良体态。社会经济地位越差的儿童体态得分越低(p<0.01;β= 0.769)。在logistic回归(p<0.05)中,5个估计中只有3个(家庭收入:β=0.244;母亲受教育程度:β=0.449;父亲受教育程度:β=0.279)有统计学意义,而父母的社会阶层与孩子的姿势没有关联。结论:观察到的社会经济地位与儿童姿势的关联可能是社会经济地位越高的人营养状况越好,并且更有可能从事有规律的体育活动。受过高等教育的父母更经常报告体育的积极影响,他们更有可能鼓励他们的孩子参加体育活动。此外,在社会经济地位较高的孩子身上观察到的更好的姿势,可能是由于他们从受过高等教育的父母那里接受了更多的姿势教育。
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Secular trends of hospitalization and in-hospital mortality rates of Q-wave and Non-Q-wave myocardial infarction in US: 1990-2006
Objective: The association of socioeconomic status with health is well-established. Nevertheless, the underlying mechanisms linking socioeconomic status to adverse health outcomes have yet to be established. We hypothesized that poor posture- as a risk factor in general health- would be directly related to socioeconomic status and, as such, eventually influence health. Materials and Methods: With cross-sectional design, in representative clustered sample of 100 children aged 7-11, kyphosis, lordosis, head and shoulder posture were examined. Socioeconomic status data was collected from parents. Logistic regression models were used in analysis by SPSS version 18 (α=0.05). Results: Poor posture was seen in 68% of the children. Lower posture scores were recorded in children with poorer socioeconomic status (p<0.01; β=0.769). In logistic regression (p<0.05), only 3 out of 5 estimates (Household income: β=0.244; Mother’s education: β=0.449; Father’s education: β=0.279) were statistically significant, while there was no association between the social class of parents and children’s posture. Conclusion: The observed association of socioeconomic status with children’s posture is probably the consequence of the perception that people with higher socioeconomic status have better nutritional conditions, and are more likely to be engaged in regular physical activities. The positive influence of sports has been more frequently reported by higher educated parents, and they are more likely to encourage their children to participate in physical activities. Moreover, the better posture which has been observed in children with higher socioeconomic status, might be caused by more postural education they receive from their highly educated parents.
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