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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >The association between health care coverage and prevalence of cardiovascular diseases and diabetes over a 10-year period
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The association between health care coverage and prevalence of cardiovascular diseases and diabetes over a 10-year period

机译：10年期间医疗保健覆盖率与心血管疾病和糖尿病患病率之间的关联

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摘要

Persons without health care coverage have poorer health outcomes. We investigated the association between health care coverage and trends in the prevalence of cardiovascular disease (CVD) and diabetes pre- and post-Affordable Care Act (ACA) periods. Using data from 3,824,678 surveyed adults in the Behavioral Risk Factor Surveillance System survey from 2007 - 2016, we calculated the yearly prevalence of CVD and diabetes. Using logistic regression, we investigated the association between health care coverage and CVD and diabetes, controlling for sociodemographic factors (age, sex, race, marital status, education and income). The mean age of participants was 55.3 +/- 18.9 years. Health care coverage increased from 88.6% in 2007 to 93% in 2016. The prevalence of CVD and diabetes increased from pre- to post-ACA periods. After adjustment, in pre-ACA period, the odds ratio (OR) for the association between health care coverage and CVD and diabetes was 1.32 (95% CI:1.30-1.34) and 1.44 (95% CI:1.41-1.46), respectively; in the post-ACA period, the OR was 1.26 (95% CI:1.22-1.30) and 1.48 (95% CI:1.44-1.52), respectively. We found a significant association between health care coverage and trends in the prevalence of CVD and diabetes in the pre- and post-ACA periods.
机译：没有医疗保健覆盖的人具有较差的健康结果。我们调查了卫生保健覆盖率与心血管疾病（CVD）和糖尿病患病率之间的关联，并且可负担得起的护理法案（ACA）期间。从2007年至2016年的行为风险因素监测系统调查中使用来自3,824,678个调查成人的数据，我们计算了CVD和糖尿病的年度患病率。使用Logistic回归，我们调查了医疗保健覆盖范围和CVD和糖尿病之间的关联，控制了社会渗塑因素（年龄，性别，种族，婚姻状况，教育和收入）。参与者的平均年龄为55.3 +/- 18.9岁。医疗保健覆盖率从2007年的88.6％增加到2016年的93％。CVD和糖尿病的患病率从ACA前期增加。在调整后，在ACA前期间，医疗保健覆盖率和CVD和糖尿病之间关联的赔率比（或）分别为1.32（95％CI：1.30-1.34）和1.44（95％CI：1.41-1.46） ;在后ACA期间，分别为1.26（95％CI：1.22-1.30）和1.48（95％CI：1.44-1.52）。我们在aca期间和后期后患者患有CVD和糖尿病患病率之间的趋势与趋势之间的重大关联。

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