Circulation:健康的社会决定因素的数量对人群冠心病风险的影响

2020-12-10 MedSci原创 MedSci原创

健康的社会决定因素(SDH)多与冠心病(CHD)事件相关。反映社会贫困的指数是为了人口管理而制定的,但该指数难以应用于临床护理。该研究旨在

健康的社会决定因素(SDH)多与冠心病(CHD)事件相关。反映社会贫困的指数是为了人口管理而制定的,但该指数难以应用于临床护理。该研究旨在评估单纯SDH计数是否与致命性冠心病和非致命性心肌梗死(MI)相关。

该研究数据来自卒中队列研究中地域和种族差异的预期纵向分析;该队列研究在2003年-2007年期间在全国招募了≥45岁、居住在社区的黑人和白人成年人。纳入分析的七个SDH包括社会背景(黑人种族、社会孤立)、教育水平、经济收入、邻里关系以及有无医疗保健(缺乏医疗保险:生活在美国9个公共卫生基础设施最少的州之一)。主要评估指标为专家判定的致命性事件、冠心病和非致命性心肌梗死。

在22,152名起始无冠心病的参与者中,58.8%是女性,42.0%是黑人,20.6%无SDH,30.6%有1项,23.0%有2项,25.8%有≥3项。中位随访10.7年,共发生了463例致命性CHD事件和932例非致命性MI。

不同SDH数量群体致命性冠心病的发生率

不同SDH数量群体非致命性心肌梗死的发生率

与非致命性心肌梗死相关的SDH数量少于与致命性事件CHD相关的。随着SDH数量的增加,致命性冠心病的年龄校正的1000人年发生率升高(无SDH 1.30、1项SDH 1.44、2项SDH 2.05、≥3项SDH 2.86),非致命性心肌梗死的也是如此(0项SDH 3.91、1项SDH 4.33、≥2项SDH 5.44)。

与无SDH的人群相比,≥3项SDH的人群的致命性冠心病的粗略危险度和完全校正的危险度(HR)分别为3.0 0(95%CI 2.17-4.15)和1.67(1.18-2.37),≥2项SDH的人群的非致死性心肌梗死的粗略危险度和完全校正的危险度分别为1.57(95%CI 1.3 0-1.9)和1.14(0.93-1.4 1)。

SDH负荷越大,发生冠心病的风险就越高,发生致命性冠心病的级别越高,其相关性也越强。统计SDH的数量可能是一种很有前景的方法,或可被纳入临床实践,以识别冠心病的高危个体。

原始出处:

Safford Monika M,Reshetnyak Evgeniya,Sterling Madeline R et al. Number of Social Determinants of Health and Fatal and Nonfatal Incident Coronary Heart Disease in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study. Circulation, 2020 Dec 03, 10.1161/CIRCULATIONAHA.120.048026.

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (8)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1771023, encodeId=db721e71023cb, content=<a href='/topic/show?id=5572308336a' target=_blank style='color:#2F92EE;'>#冠心病风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30833, encryptionId=5572308336a, topicName=冠心病风险)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bfc938196115, createdName=hbwxf, createdTime=Mon May 31 15:01:50 CST 2021, time=2021-05-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2041730, encodeId=21f02041e3015, content=<a href='/topic/show?id=ed1ae3954f4' target=_blank style='color:#2F92EE;'>#社会决定因素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73954, encryptionId=ed1ae3954f4, topicName=社会决定因素)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=21015, createdName=heli0118, createdTime=Thu May 27 15:01:50 CST 2021, time=2021-05-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1671048, encodeId=bb9216e104806, content=<a href='/topic/show?id=bd58310846e' target=_blank style='color:#2F92EE;'>#决定因素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31084, encryptionId=bd58310846e, topicName=决定因素)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智慧医人, createdTime=Tue Apr 27 00:01:50 CST 2021, time=2021-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1617035, encodeId=a89f161e03575, content=<a href='/topic/show?id=e660e3936c0' target=_blank style='color:#2F92EE;'>#社会#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73936, encryptionId=e660e3936c0, topicName=社会)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e6de19781024, createdName=ms705947299214030, createdTime=Sat Dec 12 09:01:50 CST 2020, time=2020-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907055, encodeId=f65990e05550, content=健康的社会决定因素的数量对人群冠心病风险的影响,SDH负荷越大,发生冠心病的风险就越高,发生致命性冠心病的级别越高,其相关性也越强!<a href='/topic/show?id=b086512e33c' target=_blank style='color:#2F92EE;'>#心肌梗死#</a> , beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51273, encryptionId=b086512e33c, topicName=心肌梗死)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201120/5008534db22c474a844fbd107ff83af2/d3e20fc133b542208ff15e7f2b575329.jpg, createdBy=c7015311102, createdName=Jessie Zhang, createdTime=Fri Dec 11 14:26:48 CST 2020, time=2020-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906990, encodeId=b505906990b1, content=纳入分析的七个SDH包括社会背景(黑人种族、社会孤立)、教育水平、经济收入、邻里关系以及有无医疗保健(缺乏医疗保险,与无SDH的人群相比,≥3项SDH的人群的致命性冠心病的粗略危险度和完全校正的危险度(HR)分别为3.0 0(95%CI 2.17-4.15)和1.67(1.18-2.37)。所以提高经济收入,在大城市工作,是会降低致命性冠心病的发生风险的。, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211019/df01a4bfb64246379ddfef3370d04115/e1274c8eb5e440918f56f83bcfea9031.jpg, createdBy=3a345397082, createdName=Jessica, createdTime=Fri Dec 11 10:31:23 CST 2020, time=2020-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906838, encodeId=4915906838c4, content=<a href='/topic/show?id=77c33081e40' target=_blank style='color:#2F92EE;'>#冠心病#</a>冠心病, beContent=null, objectType=article, channel=null, level=null, likeNumber=185, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30817, encryptionId=77c33081e40, topicName=冠心病)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210107/b1a3bfcb6b27441abc5b407311125835/411bf7ab863e43f0a41bb263699b3962.jpg, createdBy=1e5e5409476, createdName=ms3000001667701305, createdTime=Thu Dec 10 21:20:36 CST 2020, time=2020-12-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906837, encodeId=6b1090683eaf, content=学习了了, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210107/b1a3bfcb6b27441abc5b407311125835/411bf7ab863e43f0a41bb263699b3962.jpg, createdBy=1e5e5409476, createdName=ms3000001667701305, createdTime=Thu Dec 10 21:20:12 CST 2020, time=2020-12-10, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=1771023, encodeId=db721e71023cb, content=<a href='/topic/show?id=5572308336a' target=_blank style='color:#2F92EE;'>#冠心病风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30833, encryptionId=5572308336a, topicName=冠心病风险)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bfc938196115, createdName=hbwxf, createdTime=Mon May 31 15:01:50 CST 2021, time=2021-05-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2041730, encodeId=21f02041e3015, content=<a href='/topic/show?id=ed1ae3954f4' target=_blank style='color:#2F92EE;'>#社会决定因素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73954, encryptionId=ed1ae3954f4, topicName=社会决定因素)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=21015, createdName=heli0118, createdTime=Thu May 27 15:01:50 CST 2021, time=2021-05-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1671048, encodeId=bb9216e104806, content=<a href='/topic/show?id=bd58310846e' target=_blank style='color:#2F92EE;'>#决定因素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31084, encryptionId=bd58310846e, topicName=决定因素)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智慧医人, createdTime=Tue Apr 27 00:01:50 CST 2021, time=2021-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1617035, encodeId=a89f161e03575, content=<a href='/topic/show?id=e660e3936c0' target=_blank style='color:#2F92EE;'>#社会#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73936, encryptionId=e660e3936c0, topicName=社会)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e6de19781024, createdName=ms705947299214030, createdTime=Sat Dec 12 09:01:50 CST 2020, time=2020-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907055, encodeId=f65990e05550, content=健康的社会决定因素的数量对人群冠心病风险的影响,SDH负荷越大,发生冠心病的风险就越高,发生致命性冠心病的级别越高,其相关性也越强!<a href='/topic/show?id=b086512e33c' target=_blank style='color:#2F92EE;'>#心肌梗死#</a> , beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51273, encryptionId=b086512e33c, topicName=心肌梗死)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201120/5008534db22c474a844fbd107ff83af2/d3e20fc133b542208ff15e7f2b575329.jpg, createdBy=c7015311102, createdName=Jessie Zhang, createdTime=Fri Dec 11 14:26:48 CST 2020, time=2020-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906990, encodeId=b505906990b1, content=纳入分析的七个SDH包括社会背景(黑人种族、社会孤立)、教育水平、经济收入、邻里关系以及有无医疗保健(缺乏医疗保险,与无SDH的人群相比,≥3项SDH的人群的致命性冠心病的粗略危险度和完全校正的危险度(HR)分别为3.0 0(95%CI 2.17-4.15)和1.67(1.18-2.37)。所以提高经济收入,在大城市工作,是会降低致命性冠心病的发生风险的。, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211019/df01a4bfb64246379ddfef3370d04115/e1274c8eb5e440918f56f83bcfea9031.jpg, createdBy=3a345397082, createdName=Jessica, createdTime=Fri Dec 11 10:31:23 CST 2020, time=2020-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906838, encodeId=4915906838c4, content=<a href='/topic/show?id=77c33081e40' target=_blank style='color:#2F92EE;'>#冠心病#</a>冠心病, beContent=null, objectType=article, channel=null, level=null, likeNumber=185, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30817, encryptionId=77c33081e40, topicName=冠心病)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210107/b1a3bfcb6b27441abc5b407311125835/411bf7ab863e43f0a41bb263699b3962.jpg, createdBy=1e5e5409476, createdName=ms3000001667701305, createdTime=Thu Dec 10 21:20:36 CST 2020, time=2020-12-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906837, encodeId=6b1090683eaf, content=学习了了, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210107/b1a3bfcb6b27441abc5b407311125835/411bf7ab863e43f0a41bb263699b3962.jpg, createdBy=1e5e5409476, createdName=ms3000001667701305, createdTime=Thu Dec 10 21:20:12 CST 2020, time=2020-12-10, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=1771023, encodeId=db721e71023cb, content=<a href='/topic/show?id=5572308336a' target=_blank style='color:#2F92EE;'>#冠心病风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30833, encryptionId=5572308336a, topicName=冠心病风险)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bfc938196115, createdName=hbwxf, createdTime=Mon May 31 15:01:50 CST 2021, time=2021-05-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2041730, encodeId=21f02041e3015, content=<a href='/topic/show?id=ed1ae3954f4' target=_blank style='color:#2F92EE;'>#社会决定因素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73954, encryptionId=ed1ae3954f4, topicName=社会决定因素)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=21015, createdName=heli0118, createdTime=Thu May 27 15:01:50 CST 2021, time=2021-05-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1671048, encodeId=bb9216e104806, content=<a href='/topic/show?id=bd58310846e' target=_blank style='color:#2F92EE;'>#决定因素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31084, encryptionId=bd58310846e, topicName=决定因素)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智慧医人, createdTime=Tue Apr 27 00:01:50 CST 2021, time=2021-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1617035, encodeId=a89f161e03575, content=<a href='/topic/show?id=e660e3936c0' target=_blank style='color:#2F92EE;'>#社会#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73936, encryptionId=e660e3936c0, topicName=社会)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e6de19781024, createdName=ms705947299214030, createdTime=Sat Dec 12 09:01:50 CST 2020, time=2020-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907055, encodeId=f65990e05550, content=健康的社会决定因素的数量对人群冠心病风险的影响,SDH负荷越大,发生冠心病的风险就越高,发生致命性冠心病的级别越高,其相关性也越强!<a href='/topic/show?id=b086512e33c' target=_blank style='color:#2F92EE;'>#心肌梗死#</a> , beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51273, encryptionId=b086512e33c, topicName=心肌梗死)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201120/5008534db22c474a844fbd107ff83af2/d3e20fc133b542208ff15e7f2b575329.jpg, createdBy=c7015311102, createdName=Jessie Zhang, createdTime=Fri Dec 11 14:26:48 CST 2020, time=2020-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906990, encodeId=b505906990b1, content=纳入分析的七个SDH包括社会背景(黑人种族、社会孤立)、教育水平、经济收入、邻里关系以及有无医疗保健(缺乏医疗保险,与无SDH的人群相比,≥3项SDH的人群的致命性冠心病的粗略危险度和完全校正的危险度(HR)分别为3.0 0(95%CI 2.17-4.15)和1.67(1.18-2.37)。所以提高经济收入,在大城市工作,是会降低致命性冠心病的发生风险的。, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211019/df01a4bfb64246379ddfef3370d04115/e1274c8eb5e440918f56f83bcfea9031.jpg, createdBy=3a345397082, createdName=Jessica, createdTime=Fri Dec 11 10:31:23 CST 2020, time=2020-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906838, encodeId=4915906838c4, content=<a href='/topic/show?id=77c33081e40' target=_blank style='color:#2F92EE;'>#冠心病#</a>冠心病, beContent=null, objectType=article, channel=null, level=null, likeNumber=185, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30817, encryptionId=77c33081e40, topicName=冠心病)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210107/b1a3bfcb6b27441abc5b407311125835/411bf7ab863e43f0a41bb263699b3962.jpg, createdBy=1e5e5409476, createdName=ms3000001667701305, createdTime=Thu Dec 10 21:20:36 CST 2020, time=2020-12-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906837, encodeId=6b1090683eaf, content=学习了了, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210107/b1a3bfcb6b27441abc5b407311125835/411bf7ab863e43f0a41bb263699b3962.jpg, createdBy=1e5e5409476, createdName=ms3000001667701305, createdTime=Thu Dec 10 21:20:12 CST 2020, time=2020-12-10, status=1, ipAttribution=)]
  4. [GetPortalCommentsPageByObjectIdResponse(id=1771023, encodeId=db721e71023cb, content=<a href='/topic/show?id=5572308336a' target=_blank style='color:#2F92EE;'>#冠心病风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30833, encryptionId=5572308336a, topicName=冠心病风险)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bfc938196115, createdName=hbwxf, createdTime=Mon May 31 15:01:50 CST 2021, time=2021-05-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2041730, encodeId=21f02041e3015, content=<a href='/topic/show?id=ed1ae3954f4' target=_blank style='color:#2F92EE;'>#社会决定因素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73954, encryptionId=ed1ae3954f4, topicName=社会决定因素)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=21015, createdName=heli0118, createdTime=Thu May 27 15:01:50 CST 2021, time=2021-05-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1671048, encodeId=bb9216e104806, content=<a href='/topic/show?id=bd58310846e' target=_blank style='color:#2F92EE;'>#决定因素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31084, encryptionId=bd58310846e, topicName=决定因素)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智慧医人, createdTime=Tue Apr 27 00:01:50 CST 2021, time=2021-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1617035, encodeId=a89f161e03575, content=<a href='/topic/show?id=e660e3936c0' target=_blank style='color:#2F92EE;'>#社会#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73936, encryptionId=e660e3936c0, topicName=社会)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e6de19781024, createdName=ms705947299214030, createdTime=Sat Dec 12 09:01:50 CST 2020, time=2020-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907055, encodeId=f65990e05550, content=健康的社会决定因素的数量对人群冠心病风险的影响,SDH负荷越大,发生冠心病的风险就越高,发生致命性冠心病的级别越高,其相关性也越强!<a href='/topic/show?id=b086512e33c' target=_blank style='color:#2F92EE;'>#心肌梗死#</a> , beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51273, encryptionId=b086512e33c, topicName=心肌梗死)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201120/5008534db22c474a844fbd107ff83af2/d3e20fc133b542208ff15e7f2b575329.jpg, createdBy=c7015311102, createdName=Jessie Zhang, createdTime=Fri Dec 11 14:26:48 CST 2020, time=2020-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906990, encodeId=b505906990b1, content=纳入分析的七个SDH包括社会背景(黑人种族、社会孤立)、教育水平、经济收入、邻里关系以及有无医疗保健(缺乏医疗保险,与无SDH的人群相比,≥3项SDH的人群的致命性冠心病的粗略危险度和完全校正的危险度(HR)分别为3.0 0(95%CI 2.17-4.15)和1.67(1.18-2.37)。所以提高经济收入,在大城市工作,是会降低致命性冠心病的发生风险的。, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211019/df01a4bfb64246379ddfef3370d04115/e1274c8eb5e440918f56f83bcfea9031.jpg, createdBy=3a345397082, createdName=Jessica, createdTime=Fri Dec 11 10:31:23 CST 2020, time=2020-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906838, encodeId=4915906838c4, content=<a href='/topic/show?id=77c33081e40' target=_blank style='color:#2F92EE;'>#冠心病#</a>冠心病, beContent=null, objectType=article, channel=null, level=null, likeNumber=185, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30817, encryptionId=77c33081e40, topicName=冠心病)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210107/b1a3bfcb6b27441abc5b407311125835/411bf7ab863e43f0a41bb263699b3962.jpg, createdBy=1e5e5409476, createdName=ms3000001667701305, createdTime=Thu Dec 10 21:20:36 CST 2020, time=2020-12-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906837, encodeId=6b1090683eaf, content=学习了了, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210107/b1a3bfcb6b27441abc5b407311125835/411bf7ab863e43f0a41bb263699b3962.jpg, createdBy=1e5e5409476, createdName=ms3000001667701305, createdTime=Thu Dec 10 21:20:12 CST 2020, time=2020-12-10, status=1, ipAttribution=)]
  5. [GetPortalCommentsPageByObjectIdResponse(id=1771023, encodeId=db721e71023cb, content=<a href='/topic/show?id=5572308336a' target=_blank style='color:#2F92EE;'>#冠心病风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30833, encryptionId=5572308336a, topicName=冠心病风险)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bfc938196115, createdName=hbwxf, createdTime=Mon May 31 15:01:50 CST 2021, time=2021-05-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2041730, encodeId=21f02041e3015, content=<a href='/topic/show?id=ed1ae3954f4' target=_blank style='color:#2F92EE;'>#社会决定因素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73954, encryptionId=ed1ae3954f4, topicName=社会决定因素)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=21015, createdName=heli0118, createdTime=Thu May 27 15:01:50 CST 2021, time=2021-05-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1671048, encodeId=bb9216e104806, content=<a href='/topic/show?id=bd58310846e' target=_blank style='color:#2F92EE;'>#决定因素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31084, encryptionId=bd58310846e, topicName=决定因素)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智慧医人, createdTime=Tue Apr 27 00:01:50 CST 2021, time=2021-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1617035, encodeId=a89f161e03575, content=<a href='/topic/show?id=e660e3936c0' target=_blank style='color:#2F92EE;'>#社会#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73936, encryptionId=e660e3936c0, topicName=社会)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e6de19781024, createdName=ms705947299214030, createdTime=Sat Dec 12 09:01:50 CST 2020, time=2020-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907055, encodeId=f65990e05550, content=健康的社会决定因素的数量对人群冠心病风险的影响,SDH负荷越大,发生冠心病的风险就越高,发生致命性冠心病的级别越高,其相关性也越强!<a href='/topic/show?id=b086512e33c' target=_blank style='color:#2F92EE;'>#心肌梗死#</a> , beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51273, encryptionId=b086512e33c, topicName=心肌梗死)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201120/5008534db22c474a844fbd107ff83af2/d3e20fc133b542208ff15e7f2b575329.jpg, createdBy=c7015311102, createdName=Jessie Zhang, createdTime=Fri Dec 11 14:26:48 CST 2020, time=2020-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906990, encodeId=b505906990b1, content=纳入分析的七个SDH包括社会背景(黑人种族、社会孤立)、教育水平、经济收入、邻里关系以及有无医疗保健(缺乏医疗保险,与无SDH的人群相比,≥3项SDH的人群的致命性冠心病的粗略危险度和完全校正的危险度(HR)分别为3.0 0(95%CI 2.17-4.15)和1.67(1.18-2.37)。所以提高经济收入,在大城市工作,是会降低致命性冠心病的发生风险的。, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211019/df01a4bfb64246379ddfef3370d04115/e1274c8eb5e440918f56f83bcfea9031.jpg, createdBy=3a345397082, createdName=Jessica, createdTime=Fri Dec 11 10:31:23 CST 2020, time=2020-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906838, encodeId=4915906838c4, content=<a href='/topic/show?id=77c33081e40' target=_blank style='color:#2F92EE;'>#冠心病#</a>冠心病, beContent=null, objectType=article, channel=null, level=null, likeNumber=185, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30817, encryptionId=77c33081e40, topicName=冠心病)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210107/b1a3bfcb6b27441abc5b407311125835/411bf7ab863e43f0a41bb263699b3962.jpg, createdBy=1e5e5409476, createdName=ms3000001667701305, createdTime=Thu Dec 10 21:20:36 CST 2020, time=2020-12-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906837, encodeId=6b1090683eaf, content=学习了了, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210107/b1a3bfcb6b27441abc5b407311125835/411bf7ab863e43f0a41bb263699b3962.jpg, createdBy=1e5e5409476, createdName=ms3000001667701305, createdTime=Thu Dec 10 21:20:12 CST 2020, time=2020-12-10, status=1, ipAttribution=)]
    2020-12-11 Jessie Zhang

    健康的社会决定因素的数量对人群冠心病风险的影响,SDH负荷越大,发生冠心病的风险就越高,发生致命性冠心病的级别越高,其相关性也越强!#心肌梗死#

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1771023, encodeId=db721e71023cb, content=<a href='/topic/show?id=5572308336a' target=_blank style='color:#2F92EE;'>#冠心病风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30833, encryptionId=5572308336a, topicName=冠心病风险)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bfc938196115, createdName=hbwxf, createdTime=Mon May 31 15:01:50 CST 2021, time=2021-05-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2041730, encodeId=21f02041e3015, content=<a href='/topic/show?id=ed1ae3954f4' target=_blank style='color:#2F92EE;'>#社会决定因素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73954, encryptionId=ed1ae3954f4, topicName=社会决定因素)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=21015, createdName=heli0118, createdTime=Thu May 27 15:01:50 CST 2021, time=2021-05-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1671048, encodeId=bb9216e104806, content=<a href='/topic/show?id=bd58310846e' target=_blank style='color:#2F92EE;'>#决定因素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31084, encryptionId=bd58310846e, topicName=决定因素)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智慧医人, createdTime=Tue Apr 27 00:01:50 CST 2021, time=2021-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1617035, encodeId=a89f161e03575, content=<a href='/topic/show?id=e660e3936c0' target=_blank style='color:#2F92EE;'>#社会#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73936, encryptionId=e660e3936c0, topicName=社会)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e6de19781024, createdName=ms705947299214030, createdTime=Sat Dec 12 09:01:50 CST 2020, time=2020-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907055, encodeId=f65990e05550, content=健康的社会决定因素的数量对人群冠心病风险的影响,SDH负荷越大,发生冠心病的风险就越高,发生致命性冠心病的级别越高,其相关性也越强!<a href='/topic/show?id=b086512e33c' target=_blank style='color:#2F92EE;'>#心肌梗死#</a> , beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51273, encryptionId=b086512e33c, topicName=心肌梗死)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201120/5008534db22c474a844fbd107ff83af2/d3e20fc133b542208ff15e7f2b575329.jpg, createdBy=c7015311102, createdName=Jessie Zhang, createdTime=Fri Dec 11 14:26:48 CST 2020, time=2020-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906990, encodeId=b505906990b1, content=纳入分析的七个SDH包括社会背景(黑人种族、社会孤立)、教育水平、经济收入、邻里关系以及有无医疗保健(缺乏医疗保险,与无SDH的人群相比,≥3项SDH的人群的致命性冠心病的粗略危险度和完全校正的危险度(HR)分别为3.0 0(95%CI 2.17-4.15)和1.67(1.18-2.37)。所以提高经济收入,在大城市工作,是会降低致命性冠心病的发生风险的。, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211019/df01a4bfb64246379ddfef3370d04115/e1274c8eb5e440918f56f83bcfea9031.jpg, createdBy=3a345397082, createdName=Jessica, createdTime=Fri Dec 11 10:31:23 CST 2020, time=2020-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906838, encodeId=4915906838c4, content=<a href='/topic/show?id=77c33081e40' target=_blank style='color:#2F92EE;'>#冠心病#</a>冠心病, beContent=null, objectType=article, channel=null, level=null, likeNumber=185, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30817, encryptionId=77c33081e40, topicName=冠心病)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210107/b1a3bfcb6b27441abc5b407311125835/411bf7ab863e43f0a41bb263699b3962.jpg, createdBy=1e5e5409476, createdName=ms3000001667701305, createdTime=Thu Dec 10 21:20:36 CST 2020, time=2020-12-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906837, encodeId=6b1090683eaf, content=学习了了, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210107/b1a3bfcb6b27441abc5b407311125835/411bf7ab863e43f0a41bb263699b3962.jpg, createdBy=1e5e5409476, createdName=ms3000001667701305, createdTime=Thu Dec 10 21:20:12 CST 2020, time=2020-12-10, status=1, ipAttribution=)]
    2020-12-11 Jessica

    纳入分析的七个SDH包括社会背景(黑人种族、社会孤立)、教育水平、经济收入、邻里关系以及有无医疗保健(缺乏医疗保险,与无SDH的人群相比,≥3项SDH的人群的致命性冠心病的粗略危险度和完全校正的危险度(HR)分别为3.0 0(95%CI 2.17-4.15)和1.67(1.18-2.37)。所以提高经济收入,在大城市工作,是会降低致命性冠心病的发生风险的。

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1771023, encodeId=db721e71023cb, content=<a href='/topic/show?id=5572308336a' target=_blank style='color:#2F92EE;'>#冠心病风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30833, encryptionId=5572308336a, topicName=冠心病风险)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bfc938196115, createdName=hbwxf, createdTime=Mon May 31 15:01:50 CST 2021, time=2021-05-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2041730, encodeId=21f02041e3015, content=<a href='/topic/show?id=ed1ae3954f4' target=_blank style='color:#2F92EE;'>#社会决定因素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73954, encryptionId=ed1ae3954f4, topicName=社会决定因素)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=21015, createdName=heli0118, createdTime=Thu May 27 15:01:50 CST 2021, time=2021-05-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1671048, encodeId=bb9216e104806, content=<a href='/topic/show?id=bd58310846e' target=_blank style='color:#2F92EE;'>#决定因素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31084, encryptionId=bd58310846e, topicName=决定因素)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智慧医人, createdTime=Tue Apr 27 00:01:50 CST 2021, time=2021-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1617035, encodeId=a89f161e03575, content=<a href='/topic/show?id=e660e3936c0' target=_blank style='color:#2F92EE;'>#社会#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73936, encryptionId=e660e3936c0, topicName=社会)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e6de19781024, createdName=ms705947299214030, createdTime=Sat Dec 12 09:01:50 CST 2020, time=2020-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907055, encodeId=f65990e05550, content=健康的社会决定因素的数量对人群冠心病风险的影响,SDH负荷越大,发生冠心病的风险就越高,发生致命性冠心病的级别越高,其相关性也越强!<a href='/topic/show?id=b086512e33c' target=_blank style='color:#2F92EE;'>#心肌梗死#</a> , beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51273, encryptionId=b086512e33c, topicName=心肌梗死)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201120/5008534db22c474a844fbd107ff83af2/d3e20fc133b542208ff15e7f2b575329.jpg, createdBy=c7015311102, createdName=Jessie Zhang, createdTime=Fri Dec 11 14:26:48 CST 2020, time=2020-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906990, encodeId=b505906990b1, content=纳入分析的七个SDH包括社会背景(黑人种族、社会孤立)、教育水平、经济收入、邻里关系以及有无医疗保健(缺乏医疗保险,与无SDH的人群相比,≥3项SDH的人群的致命性冠心病的粗略危险度和完全校正的危险度(HR)分别为3.0 0(95%CI 2.17-4.15)和1.67(1.18-2.37)。所以提高经济收入,在大城市工作,是会降低致命性冠心病的发生风险的。, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211019/df01a4bfb64246379ddfef3370d04115/e1274c8eb5e440918f56f83bcfea9031.jpg, createdBy=3a345397082, createdName=Jessica, createdTime=Fri Dec 11 10:31:23 CST 2020, time=2020-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906838, encodeId=4915906838c4, content=<a href='/topic/show?id=77c33081e40' target=_blank style='color:#2F92EE;'>#冠心病#</a>冠心病, beContent=null, objectType=article, channel=null, level=null, likeNumber=185, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30817, encryptionId=77c33081e40, topicName=冠心病)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210107/b1a3bfcb6b27441abc5b407311125835/411bf7ab863e43f0a41bb263699b3962.jpg, createdBy=1e5e5409476, createdName=ms3000001667701305, createdTime=Thu Dec 10 21:20:36 CST 2020, time=2020-12-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906837, encodeId=6b1090683eaf, content=学习了了, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210107/b1a3bfcb6b27441abc5b407311125835/411bf7ab863e43f0a41bb263699b3962.jpg, createdBy=1e5e5409476, createdName=ms3000001667701305, createdTime=Thu Dec 10 21:20:12 CST 2020, time=2020-12-10, status=1, ipAttribution=)]
    2020-12-10 ms3000001667701305

    #冠心病#冠心病

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1771023, encodeId=db721e71023cb, content=<a href='/topic/show?id=5572308336a' target=_blank style='color:#2F92EE;'>#冠心病风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30833, encryptionId=5572308336a, topicName=冠心病风险)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bfc938196115, createdName=hbwxf, createdTime=Mon May 31 15:01:50 CST 2021, time=2021-05-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2041730, encodeId=21f02041e3015, content=<a href='/topic/show?id=ed1ae3954f4' target=_blank style='color:#2F92EE;'>#社会决定因素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73954, encryptionId=ed1ae3954f4, topicName=社会决定因素)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=21015, createdName=heli0118, createdTime=Thu May 27 15:01:50 CST 2021, time=2021-05-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1671048, encodeId=bb9216e104806, content=<a href='/topic/show?id=bd58310846e' target=_blank style='color:#2F92EE;'>#决定因素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31084, encryptionId=bd58310846e, topicName=决定因素)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智慧医人, createdTime=Tue Apr 27 00:01:50 CST 2021, time=2021-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1617035, encodeId=a89f161e03575, content=<a href='/topic/show?id=e660e3936c0' target=_blank style='color:#2F92EE;'>#社会#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73936, encryptionId=e660e3936c0, topicName=社会)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e6de19781024, createdName=ms705947299214030, createdTime=Sat Dec 12 09:01:50 CST 2020, time=2020-12-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=907055, encodeId=f65990e05550, content=健康的社会决定因素的数量对人群冠心病风险的影响,SDH负荷越大,发生冠心病的风险就越高,发生致命性冠心病的级别越高,其相关性也越强!<a href='/topic/show?id=b086512e33c' target=_blank style='color:#2F92EE;'>#心肌梗死#</a> , beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51273, encryptionId=b086512e33c, topicName=心肌梗死)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201120/5008534db22c474a844fbd107ff83af2/d3e20fc133b542208ff15e7f2b575329.jpg, createdBy=c7015311102, createdName=Jessie Zhang, createdTime=Fri Dec 11 14:26:48 CST 2020, time=2020-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906990, encodeId=b505906990b1, content=纳入分析的七个SDH包括社会背景(黑人种族、社会孤立)、教育水平、经济收入、邻里关系以及有无医疗保健(缺乏医疗保险,与无SDH的人群相比,≥3项SDH的人群的致命性冠心病的粗略危险度和完全校正的危险度(HR)分别为3.0 0(95%CI 2.17-4.15)和1.67(1.18-2.37)。所以提高经济收入,在大城市工作,是会降低致命性冠心病的发生风险的。, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211019/df01a4bfb64246379ddfef3370d04115/e1274c8eb5e440918f56f83bcfea9031.jpg, createdBy=3a345397082, createdName=Jessica, createdTime=Fri Dec 11 10:31:23 CST 2020, time=2020-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906838, encodeId=4915906838c4, content=<a href='/topic/show?id=77c33081e40' target=_blank style='color:#2F92EE;'>#冠心病#</a>冠心病, beContent=null, objectType=article, channel=null, level=null, likeNumber=185, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30817, encryptionId=77c33081e40, topicName=冠心病)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210107/b1a3bfcb6b27441abc5b407311125835/411bf7ab863e43f0a41bb263699b3962.jpg, createdBy=1e5e5409476, createdName=ms3000001667701305, createdTime=Thu Dec 10 21:20:36 CST 2020, time=2020-12-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=906837, encodeId=6b1090683eaf, content=学习了了, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210107/b1a3bfcb6b27441abc5b407311125835/411bf7ab863e43f0a41bb263699b3962.jpg, createdBy=1e5e5409476, createdName=ms3000001667701305, createdTime=Thu Dec 10 21:20:12 CST 2020, time=2020-12-10, status=1, ipAttribution=)]
    2020-12-10 ms3000001667701305

    学习了了

    0

相关资讯

Cell Res :突破!上海科技大学张辉团队发现心内膜中Kdr的过度表达可改善心肌梗死后的心脏功能

冠状动脉疾病是全世界死亡率和发病率的主要原因。血液流向心肌受阻会导致心脏缺血和心肌梗塞(MI)。已知在MI期间会诱发许多血管生成因子,这表明心脏自然反应以诱导新冠状动脉的形成。

J Neurointerv Surg:药物涂层球囊治疗冠状动脉新生病变的效果并不劣于BMS或DES

药物涂层球囊(DCB)可避免支架相关的长期并发症,本试验比较了非ST-elevation心肌梗死(NSTEMI)患者接受DCB或支架治疗的临床结果,研究结果已在线发表于J Neurointerv Su

Circulation:耗竭吲哚胺2,3-双加氧酶1明显改善心肌梗死后的心功能

缺血性心血管疾病,特别是急性心肌梗死(MI)是世界范围内导致死亡的主要原因之一。吲哚胺2,3-双加氧酶1(IDO)是催化L-色氨酸(Trp)代谢的一个限速步骤酶,也是许多病理状态的重要调节因子。

Lancet:LDL升高对70-100岁高龄人群心肌梗死及动脉粥样硬化性心血管疾病事件风险的影响

相对于低龄患者,70-100岁人群,LDL胆固醇升高导致的心肌梗死及动脉粥样硬化性心血管疾病事件绝对风险最高,但预防所需的治疗次数最少。

Nat Commun:急性心肌梗死和致命性冠心病相关饮食因素的系统综合纵向评价

其应用环境全域关联研究的方法,对护士健康研究数据进行全面、敏捷地探索,研究了257种营养素和117种食物与冠心病风险(急性心肌梗死和致命性冠心病)的关联。

Catheter Cardiovasc Interv:R-ZES在ST-Elevation心肌梗死患者中的安全性和有效性——Resolute-STEMI试验

本研究旨在评估DAPT-STEMI试验(NCT01459627)中入组患者使用第二代Resolute™佐他林洗脱支架(R-ZES)进行初级经皮冠状动脉介入治疗(pPCI)后的安全性和疗效结