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首页> 外文期刊>Annals of epidemiology >Neighborhood disparities in incident hospitalized myocardial infarction in four U.S. communities: the ARIC surveillance study.
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Neighborhood disparities in incident hospitalized myocardial infarction in four U.S. communities: the ARIC surveillance study.

机译：美国四个社区的住院心肌梗塞事件中的邻里差异：ARIC监测研究。

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摘要

PURPOSE: Hospital-based surveillance of myocardial infarction (MI) in the United States (U.S.) typically includes age, gender, and race, but not socioeconomic status (SES). We examined the association between neighborhood median household income (nINC) and incident hospitalized MI in four U.S. communities (1993-2002). METHODS: Average annual indirect age-standardized MI rates were calculated using community-specific and community-wide nINC tertiles. Poisson generalized linear mixed models were used to calculate MI incidence rate ratios by tertile of census tract nINC (high nINC group referent). RESULTS: Within community, and among all race-gender groups, those living in low nINC neighborhoods had an increased risk of MI compared to those living in high nINC neighborhoods. This association was present when both community-specific and community-wide nINC cut points were used. Blacks and, to a lesser extent, women, were disproportionately represented in low nINC neighborhoods, resulting in a higher absolute burden of MI in blacks and women living in low compared with high nINC neighborhoods. CONCLUSIONS: These findings suggest a need for the joint consideration of racial, gender, and social disparities in interventions aimed at preventing coronary heart disease.
机译：目的：在美国（美国）基于医院的心肌梗塞（MI）监测通常包括年龄，性别和种族，但不包括社会经济地位（SES）。我们研究了美国四个社区（1993-2002）的邻里中位家庭收入（nINC）与住院的MI事件之间的关联。方法：使用特定于社区和整个社区的nINC三分位数来计算平均年间接年龄标准化MI率。使用Poisson广义线性混合模型通过人口普查nINC（高nINC组指称）的三分位数计算MI发生率。结果：在社区内以及所有种族性别群体中，居住在nINC较低社区的人比居住在nINC较高社区的人患MI的风险增加。当同时使用特定于社区和整个社区的nINC切割点时，就存在这种关联。在nINC较低的社区中，黑人和妇女所占比例不成比例，与nINC较高的社区相比，黑人和生活在较低地区的妇女的MI绝对负担更高。结论：这些发现提示在预防冠心病的干预措施中需要种族，性别和社会差异的共同考虑。

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