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首页> 外文学位 >Systematic review of current trends of cardiovascular disease (CVD) and association between health insurance coverage and CVD mortality among women aged 60--65 in Texas in 2000--2011.
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Systematic review of current trends of cardiovascular disease (CVD) and association between health insurance coverage and CVD mortality among women aged 60--65 in Texas in 2000--2011.

机译：对德克萨斯州2000--2011年60--65岁女性心血管疾病（CVD）当前趋势以及健康保险覆盖率和CVD死亡率之间关联的系统评价。

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摘要

Cardiovascular disease (CVD) is highly preventable, yet it is a leading cause of death among women in Texas. The primary goals of this research were to examine past and current trends of CVD, as well as identify whether there is an association between the insurance coverage and mortality from CVD among women aged 60–65 in Texas between 2000 and 2011.;The systematic review of the research is based on the guidelines and recommendations set by the Centre for Reviews and Dissemination for conducting reviews in health care. Over 47 citations of peer-reviewed articles from Ovid MEDLINE and PubMed databases and five websites were identified, of which 7 studies met inclusion criteria for the first systematic review to examine the trends of CVD in Texas. Ten citations of peer-reviewed articles from Ovid MEDLINE and PubMed databases and five web sites were reviewed for the second systematic review (to study the association between insurance coverage and cardiovascular health among Texas women 60–64 years of age), of which 3 studies met inclusion criteria and were included in the research. The results of the study highlighted key gaps in the existing literature and important areas for the further research, as well as determined directions for future public health CVD prevention programs in Texas.;Based on the conducted research, the major determinants of premature mortality among women attributed to cardiovascular disease are based on individual level characteristics, more specifically sex, age, race/ethnicity, and education. The results indicate that African American and non-Hispanic white women are more likely to have higher CVD mortality rates than Hispanic women due to higher prevalence of cardiac risk factors. The data also shows higher levels of mortality from CVD in the southeastern United States, with Texas ranking as the third state with the highest prevalence of CVD among women. According to the Texas Department of State Health Services, there are approximately 56,000 deaths caused by CVD annually in Texas, which represents about one death every ten minutes. Coronary artery disease and stroke were the causes of 31.2 percent of all female deaths in Texas in 2009, meaning that approximately 68 women die from any form of cardiac disease in Texas each day.;The data of the reviewed studies indicate that women' lack of health insurance was significantly associated with a higher prevalence of cardiovascular disease. The uninsured women were more likely to be unaware of their risk factors and more likely to have undiagnosed diabetes—a co-morbidity factor of CVD. One of the studies also reports strong correlation between state rates of uninsured and lower rates of preventive care. Given these strong correlations, those who were chronically uninsured were at a higher risk of mortality than the insured, due to prolonged periods of time without basic access to preventive and medical care.;Suggested recommendations to decrease CVD mortality rates in Texas are consistent with the existing literature and include state policy development that addresses elimination of health disparities, consideration of potential benefits of universal health coverage by the legislative policymakers, and maintenance of solid partnerships between public health agencies and hospitals to educate on, diagnose, and treat CVD among the female population in Texas.
机译：心血管疾病（CVD）可以高度预防，但它是德克萨斯州女性死亡的主要原因。这项研究的主要目标是检查CVD的过去和当前趋势，以及确定2000年至2011年间德克萨斯州60-65岁女性的CVD保险覆盖率与死亡率之间是否存在关联。该研究的依据是审查与传播中心为进行卫生保健审查制定的指导方针和建议。确定了来自Ovid MEDLINE和PubMed数据库以及五个网站的47篇经过同行评审的文章，其中7篇研究符合纳入标准，这是首次系统审查德克萨斯州CVD趋势的文献。对来自Ovid MEDLINE和PubMed数据库的十篇同行评审文章的引用以及五个网站进行了第二次系统综述（以研究60-64岁德克萨斯州女性的保险覆盖率与心血管健康之间的关联），其中3篇研究符合纳入标准并被纳入研究。研究结果突出了现有文献中的主要差距和需要进一步研究的重要领域，以及德克萨斯州未来公共卫生CVD预防计划的确定方向。；根据进行的研究，妇女过早死亡的主要决定因素归因于心血管疾病的原因是基于个人的水平特征，更具体而言是性别，年龄，种族/民族和教育程度。结果表明，非裔美国人和非西班牙裔白人妇女比心脏病裔美国人患心血管疾病的可能性更高，这是因为心脏危险因素的患病率更高。数据还显示，美国东南部的CVD死亡率较高，得克萨斯州是女性中CVD患病率最高的第三州。根据得克萨斯州州卫生服务部的数据，得克萨斯州每年约有5.6万人死于心血管疾病，这意味着每十分钟就有一人死亡。 2009年，得克萨斯州女性死于冠状动脉疾病和中风的人数占所有女性死亡的31.2％，这意味着得克萨斯州每天约有68名妇女死于任何形式的心脏病。健康保险与心血管疾病的患病率显着相关。没有保险的妇女更有可能没有意识到自己的危险因素，也更有可能患有未被诊断的糖尿病，这是CVD的合并症。一项研究还报告说，未投保州的比率与较低的预防保健比率之间具有很强的相关性。鉴于这些强烈的相关性，由于长期没有基本的预防和医疗服务，长期未投保的人比被投保的人有更高的死亡风险。;建议降低德克萨斯州CVD死亡率的建议与现有文献，包括制定国家政策，以消除健康差异，立法决策者考虑全民健康覆盖的潜在利益以及维持公共卫生机构与医院之间牢固的伙伴关系，以教育，诊断和治疗女性中的CVD得克萨斯州的人口。

著录项

  • 作者

    Volkovicher, Nastasya A.;

  • 作者单位

    The University of Texas School of Public Health.;

  • 授予单位 The University of Texas School of Public Health.;
  • 学科 Health Sciences Public Health.;Health Sciences Epidemiology.
  • 学位 M.P.H.
  • 年度 2012
  • 页码 54 p.
  • 总页数 54
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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