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Chidzidzo chacho chakawana kuti muzera remakore 50 makore uye kupfuura, kuderera kwehupfumi hwehupfumi hwakanyanya kubatanidzwa nehuwandu hwekuora mwoyo; Pakati pavo, kubatanidzwa kwakaderera mumabasa emagariro evanhu uye kusurukirwa kunobata basa rekuyananisa mukubatana kwechikonzero pakati pezviviri. Mhedzisiro yetsvagiridzo inoratidza kekutanga nzira yekuita pakati pepfungwa dzehunhu hwemagariro uye hupfumi hwemagariro uye njodzi yekuora mwoyo kune vakwegura, uye inopa humbowo hunokosha hwesainzi hutsigiro hwekuumbwa kwekupindira kwehutano hwepfungwa muhuwandu hwevanhu vakwegura, kubviswa kwezvinotaridza hutano hwehutano, uye kukurumidza kwekuzadzikiswa kwezvinangwa zvepasi rose zvine hutano hwekuchembera.

Kuora mwoyo ndiro dambudziko guru rehutano hwepfungwa rinopa mutoro wepasi rose wezvirwere uye chikonzero chikuru chekufa pakati pezvinetso zvehutano hwepfungwa. The Comprehensive Action Plan for Mental Health 2013-2030, yakagamuchirwa neWHO muna 2013, inoratidza matanho anokosha ekupa kupindira kwakakodzera kune vanhu vane dambudziko repfungwa, kusanganisira avo vane kuora mwoyo. Kuora mwoyo kwakapararira muhuwandu hwevanhu vakwegura, asi kunyanya kusaonekwa uye kusarapwa. Zvidzidzo zvakawana kuti kuora mwoyo mukukwegura kwakabatana zvakanyanya nekuderera kwekuziva uye njodzi yehutano hwemwoyo. Mamiriro ehupfumi hwevanhu, basa revanhu, uye kusurukirwa zvakave zvakasununguka zvakabatana nekukura kwekuora mwoyo, asi migumisiro yavo yakabatanidzwa uye maitiro chaiwo haana kujeka. Muchirevo chekukwegura kwepasi rose, pane chido chekukurumidzira kujekesa hutano hwemagariro evanhu hwekuora mwoyo mukukwegura uye maitiro avo.

Ichi Chidzidzo chidzidzo chehuwandu hwevanhu, chemhiri-nyika cohort chidzidzo chichishandisa data kubva kuongororo dzinomiririra nyika shanu dzevakuru munyika makumi maviri nemana (yakaitwa kubva Kukadzi 15, 2008 kusvika Kukadzi 27, 2019), kusanganisira Health and Retirement Study, National Health and Retirement Study. HRS, the English Longitudinal Study of Ageing, ELSA, Ongororo Yehutano, Kuchembera uye Retirement muEurope, The Survey of Health, Ageging and Retirement in Europe, the China Health and Retirement Longitudinal Study, The China Health and Retirement Longitudinal Study, CHARLS and the Mexican Health and Aging Study (MHAS). Chidzidzo chacho chaisanganisira vatori vechikamu vane makore 50 uye kupfuura panguva yekutanga avo vakarondedzera ruzivo pamusoro pemamiriro avo ehupfumi, mabasa evanhu, uye manzwiro ekusurukirwa, uye avo vakabvunzurudzwa kanenge kaviri; Vatori vechikamu vaiva nezviratidzo zvekuora mwoyo pakutanga, avo vakanga vasipo data pamusoro pekuora mwoyo zviratidzo uye covariates, uye avo vakanga vasipo havana kubatanidzwa. Zvichibva pamari yemumba, dzidzo uye chinzvimbo chebasa, nzira yekuongorora yechikamu chepasi yakashandiswa kutsanangura mamiriro ehupfumi hwevanhu sepamusoro uye pasi. Kushungurudzika kwakaongororwa uchishandisa Mexican Health and Aging Study (CES-D) kana EURO-D. Kushamwaridzana pakati pemamiriro ehupfumi hwevanhu uye kuora mwoyo kwakafungidzirwa kushandisa Cox proportional hazard model, uye migumisiro yakabatanidzwa yeongororo shanu yakawanikwa uchishandisa imwe nzira yemigumisiro. Ichi chidzidzo chakawedzera kuongorora kubatanidzwa uye kupindirana kwehutano hwemagariro evanhu, mabasa emagariro evanhu uye kusurukirwa pakuora mwoyo, uye kuongorora migumisiro yekuyananisa yemabasa evanhu uye kusurukirwa pamusoro pemamiriro ehupfumi hwevanhu uye kuora mwoyo nekushandisa causal mediation analysis.

Mushure mekutevera kwepakati pemakore e5, vatori vechikamu 20,237 vakatanga kuora mwoyo, nehuwandu hwehuwandu hwe7.2 (95% nguva yekuvimba 4.4-10.0) pa100 munhu-makore. Mushure mekugadzirisa zvinhu zvakasiyana-siyana zvinovhiringidza, kuongorora kwakawana kuti vatori vechikamu chepasi chehupfumi hwemagariro evanhu vaiva nehuwandu hwekuora mwoyo kana vachienzaniswa nevatori vechikamu chepamusoro-soro yemagariro evanhu (yakabatanidzwa HR = 1.34; 95% CI: 1.23-1.44). Pakati pemasangano pakati pehutano hwehupfumi uye kuora mwoyo, chete 6.12% (1.14-28.45) uye 5.54% (0.71-27.62) yakapindirana nemabasa evanhu uye kusurukirwa, maererano.

Kubatana chete pakati pemamiriro ezvehupfumi uye kusurukirwa kwakaonekwa kuve nemhedzisiro yakakura pakuora mwoyo (yakabatanidzwa HR = 0.84; 0.79-0.90). Kuenzaniswa nevatori vechikamu vemamiriro epamusoro ehupfumi hwemagariro avo vaive munzanga uye vasina kusurukirwa, vatori vechikamu vemamiriro ekunze ehupfumi avo vaive vasisaite zvemagariro uye vakasurukirwa vaive nenjodzi yakanyanya yekuora mwoyo (aggregate HR = 2.45; 2.08-2.82).

Kusagadzikana kwevanhu uye kusurukirwa kunongobatanidza chikamu pakati pehutano hwemagariro evanhu uye kuora mwoyo, zvichiratidza kuti kunze kwekupindira kunonangana nekuparadzaniswa kwevanhu uye kusurukirwa, mamwe matanho anoshanda anodiwa kuderedza dambudziko rekuora mwoyo kune vakwegura vakuru. Uyezve, migumisiro yakabatanidzwa yehutano hwemagariro evanhu, hutano hwemagariro evanhu, uye kusurukirwa kunosimbisa zvikomborero zvepanguva imwechete zvakabatanidzwa kupindira kuderedza mutoro wepasi rose wekuora mwoyo.