美国中风幸存者感知总体健康状况的差异

IF 3.6 3区医学 Q1 CLINICAL NEUROLOGY

Journal of the Neurological Sciences Pub Date : 2025-05-25 DOI:10.1016/j.jns.2025.123556

Seyyed Sina Hejazian , Alireza Vafaei Sadr , Ajith Vemuri , Vida Abedi , Ramin Zand

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引用次数: 0

摘要

总体健康对日常生活有着深远的影响。我们旨在评估美国中风幸存者的总体健康状况、趋势和相关因素，为有针对性的干预措施提供信息，并指导健康和社会政策的改进。方法采用BRFSS 2016-2022进行分析。研究人群包括有中风史的参与者。使用逻辑回归模型确定与一般健康状况不佳相关的因素。并对一般健康的时间趋势和地理格局进行了评价。结果128,988例患者中，年龄≥65岁者占49.9%，男性占48.1%。总体健康状况不佳的患病率为50.9%，2016-2022年下降3.8%。总体健康状况不佳比率高的大多数州位于该国东南部。与男性相比，只有非西班牙裔黑人女性（56.4% vs. 52.1%,p = 0.011）和45-64岁女性（58.5% vs. 56.3%,p = 0.030）或74岁以上女性（46.4% vs. 43.8%,p = 0.024）的总体健康状况不佳的比例较高。在两性中，45-64岁（男性：56.3%，女性：58.5%）和西班牙裔（男性：57.8%，女性：60.6%）在不同年龄和种族群体中总体健康状况不佳的比例最高。根据多变量回归分析，较低的BMI（18Kg/m2）、失业或家庭主妇、居住在“中风带”、缺乏运动、吸烟、共病/残疾——包括心血管、肺部和肾脏疾病、糖尿病、关节炎、癌症、失明、行走/穿衣困难——与总体健康状况不佳的几率较高相关。相比之下，高等教育和收入以及大量饮酒与患病几率较低有关。结论：本研究突出了美国中风幸存者总体健康状况的显著差异。人口统计学、合并症/残疾、身体活动、社会经济地位和环境因素与一般健康结果相关。

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Disparities in perceived general health of stroke survivors in the United States

Background

General health can have a profound impact on daily life. We aimed to evaluate perceived general health, its trend, and associated factors among stroke survivors in the US to inform targeted interventions and guide health and social policy improvements.

Method

The BRFSS 2016–2022 was utilized for analysis. The study population included participants with stroke history. Logistic regression models were used to determine factors associated with poor general health. The time trend and geographical pattern of general health were also evaluated.

Results

Out of 128,988 individuals, 49.9 % were aged≥65 and 48.1 % were men. The prevalence of unfavorable general health was 50.9 %, with a 3.8 % reduction in 2016–2022. Most states with high rates of unfavorable general health were located Southeast of the country. Compared to men, only non-Hispanic-Black women (56.4 %vs.52.1 %,p = 0.011) and women aged “45–64”(58.5 %vs.56.3 %,p = 0.030) or “above74”(46.4 %vs.43.8 %,p = 0.024) had higher rates of unfavorable general health. Among both sexes, those aged 45–64 (Men:56.3 %,Women:58.5 %) and Hispanics (Men:57.8 %,Women:60.6 %) had the highest rates of unfavorable general health among different age and race groups. Based on the multivariate regression analysis, lower BMI(<18Kg/m2), being unemployed or homemaker, residing in the “stroke belt,” physical inactivity, smoking, comorbidities/disabilities—including cardiovascular, pulmonary,and kidney diseases,diabetes, arthritis,cancer, blindness, difficulty walking/dressing—were associated with higher odds of unfavorable general health. In contrast, higher education and income, and heavy alcohol consumption were linked to lower odds.

Conclusion

This study highlights significant disparities in general health among stroke survivors in the US. Demographics, comorbidities/disabilities, physical activity, socioeconomic status, and environmental factors were associated with general health outcomes.

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来源期刊

Journal of the Neurological Sciences 医学-临床神经学

CiteScore

7.60

自引率

2.30%

发文量

313

审稿时长

22 days

期刊介绍： The Journal of the Neurological Sciences provides a medium for the prompt publication of original articles in neurology and neuroscience from around the world. JNS places special emphasis on articles that: 1) provide guidance to clinicians around the world (Best Practices, Global Neurology); 2) report cutting-edge science related to neurology (Basic and Translational Sciences); 3) educate readers about relevant and practical clinical outcomes in neurology (Outcomes Research); and 4) summarize or editorialize the current state of the literature (Reviews, Commentaries, and Editorials). JNS accepts most types of manuscripts for consideration including original research papers, short communications, reviews, book reviews, letters to the Editor, opinions and editorials. Topics considered will be from neurology-related fields that are of interest to practicing physicians around the world. Examples include neuromuscular diseases, demyelination, atrophies, dementia, neoplasms, infections, epilepsies, disturbances of consciousness, stroke and cerebral circulation, growth and development, plasticity and intermediary metabolism.