A prospective cohort study examining exposure to incarceration and cardiovascular disease (Justice-Involved Individuals Cardiovascular Disease Epidemiology - JUSTICE study): a protocol paper.

A prospective cohort study examining exposure to incarceration and cardiovascular disease (Justice-Involved Individuals Cardiovascular Disease Epidemiology - JUSTICE study): a protocol paper.
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DOI:
10.1186/s12889-022-12688-x
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发表时间:
2022-02-16
期刊:
影响因子:
4.5
通讯作者:
Wang EA
Wang EA
中科院分区:
医学2区
文献类型:
--
作者:
Howell BA;Puglisi LB;Aminawung J;Domingo KB;Elumn J;Gallagher C;Horton N;Kazi DS;Krumholz HM;Lin HJ;Roy B;Wang EA

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被监禁的人有很高的心血管风险因素,如高血压和吸烟,心血管疾病(CVD)是这一人群住院和死亡的主要原因。尽管如此,很少有人知道什么途径介导的监禁暴露和心血管疾病发病率增加之间的关联,特别是什么监禁的具体因素与这种风险。本研究的目的是更好地了解暴露于监禁的人的心血管疾病风险以及随着时间的推移心血管风险累积的途径。正义参与个人心血管疾病流行病学(JUSTICE)研究是一项前瞻性队列研究,对象是已知心血管危险因素的监禁释放人员。我们将在出狱后三个月内招募500名员工。在基线,我们正在评估CVD的传统风险因素,包括饮食,运动和吸烟,以及暴露于监禁相关政策,心理社会压力和自我效能。心血管风险因素通过护理点测试在基线测量。我们跟踪这些人从监禁中释放后的12个月,每6个月重新评估一次心理社会因素和临床风险因素。利用这些数据,我们将估计监禁对心血管危险因素的直接和间接潜在影响,以及介导这些影响的途径。我们还将模拟与监禁相关的CVD发病率、医疗保健使用和死亡率的预期10年负担。我们的研究将确定从监禁中释放的人中与CVD风险因素控制相关的因素。我们对监禁相关暴露、心理社会因素和心血管风险的临床测量的测量将允许识别独特的干预目标,以改变这一弱势群体的心血管疾病风险。在线版本包含补充材料,可通过10.1186/s12889-022-12688-x获得。
People who have been incarcerated have high rates of cardiovascular risk factors, such as hypertension and smoking, and cardiovascular disease (CVD) is a leading cause of hospitalizations and mortality in this population. Despite this, little is known regarding what pathways mediate the association between incarceration exposure and increased rates of CVD morbidity and especially what incarceration specific factors are associated with this risk. The objective of this study is to better understand CVD risk in people exposed to incarceration and the pathways by which accumulate cardiovascular risk over time. The Justice-Involved Individuals Cardiovascular Disease Epidemiology (JUSTICE) study is a prospective cohort study of individuals released from incarceration with known cardiovascular risk factors. We are recruiting 500 individuals within three months after release from jail/prison. At baseline we are assessing traditional risk factors for CVD, including diet, exercise, and smoking, and exposure to incarceration-related policies, psychosocial stress, and self-efficacy. Cardiovascular risk factors are measured at baseline through point of care testing. We are following these individuals for the 12 months following the index release from incarceration with re-evaluation of psychosocial factors and clinical risk factors every 6 months. Using these data, we will estimate the direct and indirect latent effects of incarceration on cardiovascular risk factors and the paths via which these effects are mediated. We will also model the anticipated 10-year burden of CVD incidence, health care use, and mortality associated with incarceration. Our study will identify factors associated with CVD risk factor control among people released from incarceration. Our measurement of incarceration-related exposures, psychosocial factors, and clinical measures of cardiovascular risk will allow for identification of unique targets for intervention to modify CVD risk in this vulnerable population. The online version contains supplementary material available at 10.1186/s12889-022-12688-x.
DOI: 10.2307/2136404
发表时间: 1983-01-01
影响因子: 5
作者:
COHEN, S;KAMARCK, T;MERMELSTEIN, R
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DOI: 10.3102/10769986024001070
发表时间: 1999-03-01
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DOI: 10.2105/ajph.2013.301504
发表时间: 2014-03-01
影响因子: 12.7
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Lee, Hedwig;Wildeman, Christopher;Jackson, James S.
通讯作者: Jackson, James S.
DOI: 10.1080/00401706.1970.10488634
发表时间: 1970-01-01
期刊: TECHNOMETRICS
影响因子: 2.5
作者:
HOERL, AE;KENNARD, RW
通讯作者: KENNARD, RW
DOI: 10.1097/00008483-198911000-00003
发表时间: 1989-11-01
期刊: Journal of cardiopulmonary rehabilitation
影响因子: --
作者:
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通讯作者: Sidney, Stephen