密西西比州成年人健康/健康公平性社会决定因素的综合衡量指标与心血管疾病负担之间的关联。
The Association Between a Summary Measure of Social Determinants of Health/Health Equity and Cardiovascular Disease Burden Among Mississippi Adults.
作者信息
Mendy Vincent L, Rowell-Cunsolo Tawandra L, Enkhmaa Byambaa
机构信息
Department of Epidemiology and Biostatistics, College of Health Sciences, Jackson State University, Jackson, Mississippi.
Sandra Rosenbaum School of Social Work, University of Wisconsin-Madison, Madison, Wisconsin.
出版信息
AJPM Focus. 2024 Nov 16;4(1):100297. doi: 10.1016/j.focus.2024.100297. eCollection 2025 Feb.
INTRODUCTION
Cardiovascular disease is the leading cause of death among Mississippi adults. Social determinants of health are significant contributors to cardiovascular disease risk and associated mortality as well as health disparities. The authors examined the association between a summary measure of social determinants of health and cardiovascular disease among Mississippi adults.
METHODS
Using the social determinants of health and health equity module data from 3,994 respondents to the 2022 Mississippi Behavioral Risk Factor Surveillance System survey, the authors conducted multivariable logistic regression models to examine the association between cardiovascular disease and a social determinants of health/health equity summary measure.
RESULTS
Participants who received food stamps or were enrolled in the Supplemental Nutrition Assistance Program (AOR=2.28; 95% CI=1.35, 3.86), experienced food insecurity (AOR=1.74; 95% CI=1.08, 2.79), and experienced mental distress (AOR=2.39; 95% CI=1.54, 3.73) had significantly higher odds of cardiovascular disease than their counterparts without any of these factors. Mississippi adults experiencing 4 or more of social determinants of health/health equity risk factors had a 2.56 (AOR=2.56; 95% CI=1.49, 4.41) higher odds of cardiovascular disease than those experiencing no social determinants of health/health equity risk factors.
CONCLUSIONS
Mississippi adults with 4 or more social determinants of health/health equity risk factors had significantly higher odds of cardiovascular disease than those with no social determinants of health/health equity risk factors. These findings highlight the importance of social determinants of health/health equity factors in cardiovascular disease burden and suggest that interventions targeted at individuals with multiple social determinants of health/health equity risk factors are needed to reduce the high burden of cardiovascular disease among Mississippi adults.
引言
心血管疾病是密西西比州成年人死亡的主要原因。健康的社会决定因素是心血管疾病风险、相关死亡率以及健康差距的重要促成因素。作者研究了密西西比州成年人健康的社会决定因素综合指标与心血管疾病之间的关联。
方法
利用2022年密西西比州行为风险因素监测系统调查中3994名受访者的健康社会决定因素和健康公平模块数据，作者进行了多变量逻辑回归模型，以研究心血管疾病与健康社会决定因素/健康公平综合指标之间的关联。
结果
领取食品券或参加补充营养援助计划的参与者（调整后比值比[AOR]=2.28；95%置信区间[CI]=1.35，3.86）、经历过粮食不安全的参与者（AOR=1.74；95%CI=1.08，2.79）以及经历过精神困扰的参与者（AOR=2.39；95%CI=1.54，3.73）患心血管疾病的几率明显高于没有这些因素的同龄人。经历4种或更多健康社会决定因素/健康公平风险因素的密西西比州成年人患心血管疾病的几率比未经历健康社会决定因素/健康公平风险因素的成年人高2.56倍（AOR=2.56；CI=1.49，4.41）。
结论
有4种或更多健康社会决定因素/健康公平风险因素的密西西比州成年人患心血管疾病的几率明显高于没有健康社会决定因素/健康公平风险因素的成年人。这些发现凸显了健康社会决定因素/健康公平因素在心血管疾病负担中的重要性，并表明需要针对具有多种健康社会决定因素/健康公平风险因素的个体进行干预，以减轻密西西比州成年人心血管疾病的高负担。
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