Modifiable cardiovascular risk factors among individuals in low socioeconomic communities and homeless shelters

Modifiable cardiovascular risk factors among individuals in low socioeconomic communities and homeless shelters
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DOI:
10.1097/01.fch.0000336090.37280.2e
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发表时间:
2008-10-01
影响因子:
2.3
通讯作者:
Whellan, David J.
Whellan, David J.
中科院分区:
医学4区
文献类型:
--
作者:
Kim, Dae Hyun;Daskalakis, Constantine;Whellan, David J.

文献摘要

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为了了解低社会经济人群的心血管健康状况,我们分析了费城 426 名低社会经济社区居住的男性和女性以及 287 名无家可归男性的数据。尽管吸烟和高血压的患病率较高,但无家可归者冠心病风险增加的比例与居住在社会经济地位较低的社区的参与者相当。在各种特征中,情绪压力仅在低社会经济社区居住的参与者中与冠心病风险显着相关,这表明压力具有不同的心理社会影响。我们的研究结果表明,低社会经济人群的风险因素和干预需求存在差异。
To understand cardiovascular health in low socioeconomic populations, we analyzed the data from 426 low socioeconomic community-dwelling males and females and 287 homeless males in Philadelphia. Despite higher prevalence of smoking and hypertension, the proportion of homeless participants at increased risk for coronary heart disease was comparable with that of low socioeconomic community-dwelling participants. Among various characteristics, emotional stress was significantly associated with coronary heart disease risk in low socioeconomic community-dwelling participants only, suggestive of a differential psychosocial effect of stress. Our findings suggest that low socioeconomic populations are heterogeneous with respect to their risk factors and needs for interventions.