Li Yulong, Rukshin Iris, Pan Fangfang, Sen Shuvendu, Islam Mohammed, Yousif Abdalla, Rukshin Vladimir
Department of Medicine, Raritan Bay Medical Center, Perth Amboy, New Jersey, USA.
N Am J Med Sci. 2014 May;6(5):215-8. doi: 10.4103/1947-2714.132938.
Psychosocial stress is one important risk factor for myocardial infarction.
The study was to assess the impact of the 2008-2009 economic recession on myocardial infarction occurrences in different socioeconomic areas of Raritan Bay region, New Jersey.
The patients, who were treated for acute myocardial infarction from January 2006 to June 2012, were grouped based on the average incomes of their residence districts in the Raritan Bay region. The Spearman Rank Correlation test was used to assess the correlation between the monthly occurrences of myocardial infarction and Dow Jones stock averages, as well as the correlation between the myocardial infarction occurrences and NJ State unemployment rates.
Among 1,491 cases that were identified, 990 cases resided in areas with income below the state average and 477 were from areas above the average. After the onset of the recession, the myocardial infarction occurrences trended up in the low-income area group but not in the high-income area group; and this increasing trend is correlated with the rise in NJ State unemployment rates but not with the changes in stock averages.
Our findings suggest that unemployment contributed to an increased risk of myocardial infarction among the residents in low socioeconomic areas after the 2008-2009 economic recession.
心理社会压力是心肌梗死的一个重要风险因素。
本研究旨在评估2008 - 2009年经济衰退对新泽西州拉里坦湾地区不同社会经济区域心肌梗死发生率的影响。
将2006年1月至2012年6月期间接受急性心肌梗死治疗的患者,根据其在拉里坦湾地区居住区域的平均收入进行分组。采用Spearman秩相关检验评估心肌梗死月发生率与道琼斯股票平均指数之间的相关性,以及心肌梗死发生率与新泽西州失业率之间的相关性。
在1491例确诊病例中,990例居住在收入低于该州平均水平的地区,477例来自收入高于平均水平的地区。经济衰退开始后,低收入地区组的心肌梗死发生率呈上升趋势,而高收入地区组则没有;并且这种上升趋势与新泽西州失业率的上升相关,与股票平均指数的变化无关。
我们的研究结果表明,2008 - 2009年经济衰退后,失业导致社会经济地位较低地区居民心肌梗死风险增加。