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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Exposure to New York City as a risk factor for heart attack mortality (see comments)
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Exposure to New York City as a risk factor for heart attack mortality (see comments)

机译：暴露于纽约是心脏病发作死亡的危险因素（请参阅评论）

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OBJECTIVE: If New York City (NYC) residents' unusually high rate of ischemic heart disease (IHD) results from chronic exposure to that city, there might also be an effect of acute exposure among visitors to NYC. We explored this possibility and also whether IHD is reduced among NYC residents dying away from the city. METHODS: Using all US death certificates for 1985-1994, we examined (correcting for age, race, and sex) IHD deaths in three groups: NYC residents who died in the city, non-NYC residents visiting the city, and NYC residents traveling out of the city. RESULTS: IHD deaths among NYC residents dying in the city were 155% of the expected proportion (p < .0001). Among visitors to the city, such deaths were 134% of the expected proportion (p < .0001). The proportion of IHD deaths among NYC residents dying out of the city was only 80% of the expected value (p <.0001). These effects are not due to nearby commuters, recent immigrants, local classification practices, or socioeconomic status, and they do not appear in other US cities. CONCLUSIONS: With both chronic and acute effects of exposure to NYC, these data are consistent with the hypothesis that the stress of NYC is linked to the high rate of IHD.
机译：目的：如果纽约市（NYC）居民长期暴露于城市会导致缺血性心脏病（IHD）异常高的发生，则纽约市的游客也可能会受到急性暴露的影响。我们探索了这种可能性，还探讨了在远离城市死亡的纽约市居民中IHD是否降低。方法：我们使用1985-1994年期间的所有美国死亡证明，对三类IHD死亡进行了检查（校正了年龄，种族和性别）：在该市死亡的NYC居民，前往该市的非NYC居民以及旅行的NYC居民走出城市。结果：纽约市死于纽约市的居民中IHD死亡比例为预期比例的155％（p <.0001）。在前往城市的游客中，此类死亡人数占预期比例的134％（p <.0001）。在纽约市外死亡的纽约市居民中，IHD死亡比例仅为预期值的80％（p <.0001）。这些影响不是由于附近的通勤者，最近的移民，当地的分类习惯或社会经济状况引起的，并且不会在美国其他城市中出现。结论：暴露于NYC具有慢性和急性影响，这些数据与以下假设相一致：纽约市的压力与IHD的高发生率有关。

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