Association of Sensory Loss With the Knowledge of Heart Attacks.
Association of Sensory Loss With the Knowledge of Heart Attacks.
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DOI：
10.1016/j.amepre.2021.07.003
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发表时间：
2022-03
影响因子：
5.5
通讯作者：
Reed NS
中科院分区：
文献类型：
--
作者：
Assi L;Karam ES;Swenor BK;Deal JA;Willink A;Reed NS
对心脏病发作症状和最佳应对措施的认识是国家公共卫生的优先事项，特别是在心脏病风险较高的人群中。感觉丧失的成年人比没有感觉丧失的人更容易患心脏病，并且由于患者与提供者的沟通和获得健康信息的机会有限，可能有心脏病发作知识不足的风险。本研究的目的是检查感觉丧失和心脏病发作知识之间的关联。使用了2014年和2017年全国健康访谈调查的全国代表性数据。分析于二零二一年进行。纳入了年龄≥20岁的受试者（N= 61，168）。了解心脏病发作症状和最佳反应被认为是认识到心脏病发作的5种检查症状和适当的应急反应，如2020年健康人目标所定义的。功能性听力和视力丧失被定义为自我报告的听力和视力问题。总体而言，16.2%报告功能性听力损失，10.1%报告视力损失。视力丧失与缺乏对心脏病发作症状或最佳缓解的了解相关（患病率[PR]=1.08，95% CI=1.06，1.11）。在一个单独的模型中，仅视力丧失和双重感觉丧失（同时存在视力和听力丧失）与不了解这些知识有关（分别为PR=1.09，95% CI=1.06，1.12和PR=1.08，95% CI=1.01，1.15），但仅听力丧失与不了解这些知识无关（PR=1.03，95% CI=0.99，1.06）。非制度化的成年人与感官损失可能代表一组目标，以提高知识的心脏病发作的人口。
Awareness of heart attack symptoms and best response is a national public health priority, especially among those at higher risk of heart disease. Adults with sensory loss are more likely to develop heart disease than those without, and may be at risk of poor heart attack knowledge due to limited patient–provider communication and access to health information. The aim of this study is to examine the association between sensory loss and heart attack knowledge. Cross-sectional, nationally representative data from the 2014 and 2017 National Health Interview Survey were used. Analyses were conducted in 2021. Participants aged ≥20 years were included (N=61,168). Being aware of heart attack symptoms and best response was considered as recognizing the 5 examined symptoms of heart attacks and the proper emergency response, as defined in the Healthy People 2020 objectives. Functional hearing and vision loss were defined as self-reported trouble hearing and seeing. Overall, 16.2% reported functional hearing loss, and 10.1% reported vision loss. Having vision loss was associated with a lack knowledge of heart attacks symptoms or best response (prevalence ratio [PR]=1.08, 95% CI=1.06, 1.11). In a separate model, having vision loss only and dual sensory loss (concurrent vision and hearing loss) were associated with not having this knowledge (PR=1.09, 95% CI=1.06, 1.12 and PR=1.08, 95% CI=1.01, 1.15, respectively), but having hearing loss only was not (PR=1.03, 95% CI=0.99, 1.06). Non-institutionalized adults with sensory loss may represent a group to target for improving knowledge of heart attacks in the population.
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