Brandenburg Medical School (Theodor Fontane), Brandenburg an der Havel, Germany; Department of Cardiology, Angiology and Nephrology, University Hospital Brandenburg an der Havel, Brandenburg an der Havel, Germany; Faculty of Health Sciences Brandenburg, Brandenburg an der Havel, Germany.
Brandenburg Medical School (Theodor Fontane), Brandenburg an der Havel, Germany; Faculty of Health Sciences Brandenburg, Brandenburg an der Havel, Germany; Institute of Social Medicine and Epidemiology, Brandenburg Medical School (Theodor Fontane), Brandenburg an der Havel, Germany.
Curr Probl Cardiol. 2022 Nov;47(11):101340. doi: 10.1016/j.cpcardiol.2022.101340. Epub 2022 Jul 30.
Notwithstanding a decrease in the incidence and mortality of cardiovascular diseases during the last decades, notable disparities in health outcomes depending on a patient´s socioeconomic position persist and are most visible in acute myocardial infarction and ischemic heart disease. Education is a pivotal indicator of the socioeconomic position. Effects of the social determinants of health on the incidence, prevalence and mortality of cardiovascular diseases were previously effectually investigated and shown to be inversely associated but evidence on non-fatal health outcomes such as heart failure, ability to return to work or rehospitalizations still remain insufficiently examined. We provide a literature review dealing with the impact that formal education has on non-fatal health outcomes including major adverse cardiovascular events, clinical outcomes, depression, use of cardiac rehabilitation, quality of life, self-perceived health and social participation after a myocardial infarction from a global and comprehensive perspective.
尽管在过去几十年中，心血管疾病的发病率和死亡率有所下降，但根据患者的社会经济地位，健康结果仍存在显著差异，在急性心肌梗死和缺血性心脏病中最为明显。教育是社会经济地位的关键指标。先前已经有效地研究了健康的社会决定因素对心血管疾病的发病率、患病率和死亡率的影响，结果表明它们呈负相关，但关于心力衰竭、重返工作岗位或再住院等非致命健康结果的证据仍然研究不足。我们提供了一份文献综述，从全球和全面的角度探讨了正规教育对非致命健康结果的影响，包括主要不良心血管事件、临床结果、抑郁、心脏康复的使用、生活质量、自我感知健康和心肌梗死后的社会参与。
