悉尼的社会经济地位与心力衰竭
Socioeconomic status and heart failure in Sydney.
作者信息
Close Glenn R, Newton Phillip J, Fung Simon C, Denniss A Robert, Halcomb Elizabeth J, Kovoor Pramesh, Stewart Simon, Davidson Patricia M
机构信息
Western Sydney Local Health District, Australia.
Centre for Cardiovascular and Chronic Care, University of Technology Sydney, Australia.
出版信息
Heart Lung Circ. 2014 Apr;23(4):320-4. doi: 10.1016/j.hlc.2013.10.056. Epub 2013 Nov 27.
BACKGROUND
Socioeconomic disadvantage is associated with an increased risk of developing heart failure and with inferior health outcomes following diagnosis.
METHODS
Data for hospitalisations and deaths due to heart failure in the Sydney metropolitan region were extracted from New South Wales hospital records and Australian Bureau of Statistics databases for 1999-2003. Standardised rates were analysed according to patients' residential local government area and correlated with an index of socioeconomic disadvantage.
RESULTS
Eight of the 13 local government areas with standardised separation rate ratios significantly higher than all NSW, and those with the six highest standardised separation rate ratios, were in Greater Western Sydney. Rates of heart failure hospitalisations per local government area were inversely correlated with level of socioeconomic status.
CONCLUSIONS
Higher rates of heart failure hospitalisations among residents of socioeconomically disadvantaged regions within Sydney highlight the need for strategies to lessen the impact of disadvantage and strategies to improve cardiovascular health.
背景
社会经济劣势与心力衰竭发病风险增加以及诊断后较差的健康结局相关。
方法
从新南威尔士州医院记录和澳大利亚统计局数据库中提取1999 - 2003年悉尼大都市地区因心力衰竭住院和死亡的数据。根据患者居住的地方政府区域分析标准化率，并与社会经济劣势指数相关联。
结果
13个地方政府区域中有8个的标准化分离率比显著高于新南威尔士州所有地区，且标准化分离率比最高的6个地区位于大悉尼西区。每个地方政府区域的心力衰竭住院率与社会经济地位水平呈负相关。
结论
悉尼社会经济劣势地区居民的心力衰竭住院率较高，这凸显了采取策略减轻劣势影响以及改善心血管健康策略的必要性。
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