■尽管在韩国心血管疾病(CVD)风险有所降低,目前尚不清楚所有社会经济阶层的老年人是否都平等受益。这项研究探讨了韩国老年人心血管疾病风险收入差距的趋势。
■这是对韩国国家健康和营养检查调查数据(2008-2017年)的二次分析,针对14,836名老年人(≥65岁)。社会经济地位,定义为福利的收入和使用,是主要指标。预测的CVD风险的结果是二元的(<90岁vs.≥90)。不平等斜率指数(SII)和相对不平等指数(RII)用于评估差异趋势。
■预测心血管疾病风险为90%或更高的老年人百分比随着时间的推移而下降,但这是由于富裕人群的减少。自2012年以来,差距一直存在,医疗补助接受者的趋势日益恶化。近年来,我们发现75岁以上男性的绝对和相对差异显着(SII>0.19,RII>7)。
■这些结果可能会指导和改善有关减少收入差距和心血管健康的政策。
UNASSIGNED: Although cardiovascular disease (CVD) risk has lessened in Korea, it is unclear whether older adults in all socioeconomic strata have benefited equally. This study explored trends in income disparities in CVD risk among older adults in Korea.
UNASSIGNED: This was a secondary analysis of Korean National Health and Nutrition Examination Survey data (2008-2017), targeting 14,836 older adults (≥65 years). Socioeconomic position, defined as income and use of welfare benefits, was the primary indicator. The outcome was binary for predicted CVD risk (<90th vs. ≥ 90th). The Slope Index of Inequality (SII) and Relative Index of Inequality (RII) were used to assess trends in disparities.
UNASSIGNED: The percentage of older adults with a predicted CVD risk of 90% or more declined over time, but this was due to a decrease among the more affluent. Disparities have persisted since 2012, with a worsening trend seen for Medicaid recipients. We found significant absolute and relative disparities among men over 75 years of age in recent years (SII > 0.19, RII > 7).
UNASSIGNED: These results may inform and improve policies regarding income disparity reduction and cardiovascular health.