Zhu Ke-Fu, Wang Yu-Ming, Zhu Jin-Zhou, Zhou Qin-Yi, Wang Ning-Fu
The Second Clinical Medical College, Zhejiang Chinese Medical University, China.
Zhejiang University, China.
Eur J Prev Cardiol. 2016 Mar;23(5):530-43. doi: 10.1177/2047487315587402. Epub 2015 May 14.
Coronary heart disease has become a major health concern over the past several decades. Several reviews have assessed the effects of socioeconomic status on the coronary heart disease epidemic in communities and countries, but only a few reviews have been performed at a global level. This study was to explore the relationship between the prevalence of coronary heart disease and socioeconomic development worldwide using the Human Development Index.
Systematic review.
The data in this study were collected from the MEDLINE database. Cross-sectional studies reporting the prevalence of coronary heart disease until November 2014 were collected. The Human Development Index was sourced from the United Nations Development Programme Database and was used to measure the socioeconomic achievements of countries. Each country was classified as a developing or developed country based on its level of development according to the Human Development Index value.
Based on the data analysis on the global level, coronary heart disease prevalence had no association with the national Human Development Index (rho = 0.07). However, there was a positive association between coronary heart disease prevalence and the national Human Development Index in developing countries, although a negative association existed in developed countries (rho = 0.47 and -0.34, respectively). In addition, the past decades have witnessed a growing coronary heart disease epidemic in developing countries, with reverse trends observed in developed countries (P = 0.021 and 0.002, respectively).
With the development of socioeconomic status, as measured by the Human Development Index, the prevalence of coronary heart disease is growing in developing countries, while declining in developed countries. Future research needs to pay more attention to the reasonable allocation of medical resources and control of coronary heart disease risk factors.
在过去几十年中，冠心病已成为一个主要的健康问题。已有多项综述评估了社会经济地位对社区和国家冠心病流行情况的影响，但只有少数综述是在全球层面进行的。本研究旨在利用人类发展指数探讨全球范围内冠心病患病率与社会经济发展之间的关系。
系统综述。
本研究的数据收集自MEDLINE数据库。收集截至2014年11月报告冠心病患病率的横断面研究。人类发展指数来自联合国开发计划署数据库，用于衡量各国的社会经济成就。根据人类发展指数值，每个国家根据其发展水平被分类为发展中国家或发达国家。
基于全球层面的数据分析，冠心病患病率与国家人类发展指数无关联（rho = 0.07）。然而，在发展中国家，冠心病患病率与国家人类发展指数呈正相关，而在发达国家则呈负相关（rho分别为0.47和 -0.34）。此外，过去几十年中，发展中国家冠心病流行情况呈上升趋势，而发达国家则呈相反趋势（P分别为0.021和0.002）。
以人类发展指数衡量的社会经济地位发展过程中，发展中国家的冠心病患病率在上升，而发达国家则在下降。未来的研究需要更加关注医疗资源的合理分配以及冠心病危险因素的控制。
