Seok Hee Lee, Minsu Ock, Seongmi Moon, Eun Kyeung Song
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引用次数: 0
Abstract
Background: The prevalence and mortality rates of cardiovascular diseases have been consistently high over the past 10 years in Ulsan, South Korea. Given the importance of social determinants in cardiovascular health, it is imperative to determine clusters with social determinants by a cluster analysis and their relationships with cardiovascular health.
Objective: The aims of this study were to identity clusters with distinct social determinants and to compare cardiovascular health among the identified clusters.
Methods: Social determinants (age, sex, job, education, monthly income, living location, medical institution usage, and experience of public resources), awareness and knowledge of stroke and myocardial infarction warning symptoms, health behaviors, and current history of hypertension, diabetes, and dyslipidemia were obtained from 1224 adults dwelling in Ulsan. A two-step cluster analysis, χ2 test, and logistic regressions were used for data analysis.
Results: Three clusters were identified and named "middle-aged male workers" (n = 379, 31.0%), "young professionals" (n = 482, 39.4%), and "older female dependents" (n = 363, 29.7%). Among the 3 clusters, there were significant differences in self-reported awareness of stroke and myocardial infarction warning symptoms, smoking, alcohol consumption, and eating habits related to salt intake (all Ps ≤ .001). In logistic regressions, "middle-aged male workers" versus "young professionals" had an odds ratio of 6.41 (P < .001) for hypertension and a 6.30 for diabetes (P < .001), whereas odds ratios for "older female dependents" versus "young professionals" were 10.23 for hypertension (P < .001), 7.64 for diabetes (P < .001), and 5.04 for dyslipidemia (P < .001).
Conclusions: Understanding subgroups vulnerable to cardiovascular health with distinct social determinants should be prioritized, and on the basis of this, a public health promotion program is warranted.
期刊介绍：
Official journal of the Preventive Cardiovascular Nurses Association, Journal of Cardiovascular Nursing is one of the leading journals for advanced practice nurses in cardiovascular care, providing thorough coverage of timely topics and information that is extremely practical for daily, on-the-job use. Each issue addresses the physiologic, psychologic, and social needs of cardiovascular patients and their families in a variety of environments. Regular columns include By the Bedside, Progress in Prevention, Pharmacology, Dysrhythmias, and Outcomes Research.
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