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2012 - 2015年美国低剂量阿司匹林用于心血管疾病一级和二级预防的使用流行趋势

Recent trends in the prevalence of low-dose aspirin use for primary and secondary prevention of cardiovascular disease in the United States, 2012-2015.

作者信息

Stuntz Mark, Bernstein Brent

机构信息

Deerfield Institute, New York, NY, United States.

出版信息

Prev Med Rep. 2016 Dec 28;5:183-186. doi: 10.1016/j.pmedr.2016.12.023. eCollection 2017 Mar.

Abstract

Aspirin therapy has been shown to be an effective prevention measure to reduce the risk of new or recurring cardiovascular events. The aim of this study was to provide an epidemiological analysis of low-dose aspirin use for primary and secondary CVD prevention from 2012 to 2015. Estimates of self-reported low-dose aspirin use for primary and secondary CVD prevention were obtained from the National Health Interview Survey for the years 2012-2015. Temporal changes in the prevalence of aspirin use for primary and secondary CVD prevention were assessed using logistic regression. During 2012-2015, 23.3% of respondents self-reported as taking aspirin for primary CVD prevention, decreasing from 23.7% in 2012 to 21.8% in 2015. Also during this period, 8.4% self-reported as taking aspirin for secondary CVD prevention, decreasing from 8.9% in 2012 to 8.2% in 2015. Overall, the prevalence of aspirin use for CVD prevention declined from 32.6% in 2012 to 30.0% in 2015. This study shows that over 30% of the adult population self-reports as taking low-dose aspirin for primary or secondary CVD prevention. Despite the decline in this prevalence over the previous four years, aspirin therapy remains a highly-utilized means of preventing CVD.

摘要

阿司匹林疗法已被证明是一种有效的预防措施,可降低新发或复发性心血管事件的风险。本研究的目的是对2012年至2015年期间低剂量阿司匹林用于原发性和继发性心血管疾病预防的情况进行流行病学分析。通过2012 - 2015年的国家健康访谈调查,获得了关于自我报告的低剂量阿司匹林用于原发性和继发性心血管疾病预防的估计数据。使用逻辑回归评估了原发性和继发性心血管疾病预防中阿司匹林使用患病率的时间变化。在2012 - 2015年期间,23.3%的受访者自我报告服用阿司匹林用于原发性心血管疾病预防,从2012年的23.7%降至2015年的21.8%。同样在此期间,8.4%的受访者自我报告服用阿司匹林用于继发性心血管疾病预防,从2012年的8.9%降至2015年的8.2%。总体而言,用于心血管疾病预防的阿司匹林使用率从2012年的32.6%降至2015年的30.0%。本研究表明,超过30%的成年人口自我报告服用低剂量阿司匹林用于原发性或继发性心血管疾病预防。尽管在过去四年中这一患病率有所下降,但阿司匹林疗法仍然是预防心血管疾病的一种高度常用手段。

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