Prevalence, detection, and management of cardiovascular risk factors in different ethnic groups in south London
Prevalence, detection, and management of cardiovascular risk factors in different ethnic groups in south London
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DOI：
10.1136/hrt.78.6.555
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发表时间：
1997-12-01
期刊：
影响因子：
5.7
通讯作者：
Strazzullo, P
中科院分区：
文献类型：
--
作者：
Cappuccio, FP;Cook, DG;Strazzullo, P
1994年至1996年期间，在伦敦南部的前旺兹沃斯卫生局进行了一项基于人口的调查，目的是评估三个种族人群心血管危险因素的患病率及其检测和管理水平。白色524例，非洲裔549例，南亚裔505例。主要结果指标-年龄校正的高血压、糖尿病、肥胖、血清胆固醇升高、结果与白色人相比，少数民族男女的高血压和糖尿病患病率均升高。高血压的年龄和性别标准化患病率在非洲人后裔中为2.6（95%置信区间2.1至3.2），在南亚人后裔中为1.8（1.4至2.3）。就糖尿病而言，非洲人后裔的比例为2.7（1.8比4.0），南亚人后裔为3.8（2.6比5.6）。高血压和糖尿病在加勒比人和西非人以及南亚印度教徒和穆斯林中同样普遍。总体而言，严重肥胖的患病率很高，但非洲裔妇女尤其如此（40%（35%至45%））。相反，白色人的血清胆固醇升高和吸烟率更高。在高血压患者中，49%（216/442）的血压得到了充分控制。总体而言，18%（80/442）的高血压患者和33%（62/188）的糖尿病患者在我们的调查之前未被发现。高血压受试者的非洲裔似乎更有可能被检测到（p = 0.034），但不太可能得到充分的管理（p = 0.085）。结论高血压和糖尿病的南亚人，加勒比人，在英国的西非人提高了两到三倍。高血压的检测、管理和控制有所改善，但种族之间仍存在差异。在所有族裔群体中，特别是在非洲裔妇女中，肥胖症都超过了国家健康目标。英国不同种族群体的预防和治疗策略需要考虑文化差异和对不同血管疾病的潜在易感性。
Objective-To assess the prevalence of cardiovascular risk factors and their level of detection and management in three ethnic groups.Design-Population based survey during 1994 to 1996.Setting-Former Wandsworth Health Authority in South London.Subjects-1578 men and women, aged 40 to 59 years; 524 white, 549 of African descent, and 505 of South Asian origin.Main outcome measures-Age adjusted prevalence of hypertension, diabetes, obesity, raised serum cholesterol, and smoking.Results-Ethnic minorities of both sexes had raised prevalence rates of hypertension and diabetes compared to white people. Age and sex standardised prevalence ratios for hypertension were 2.6 (95% confidence interval 2.1 to 3.2) in people of African descent and 1.8 (1.4 to 2.3) in those of South Asian origin. For diabetes, the ratios were 2.7 (1.8 to 4.0) in people of African descent and 3.8 (2.6 to 5.6) in those of South Asian origin. Hypertension and diabetes were equally common among Caribbeans and West Africans and among South Asian Hindus and Muslims. Prevalence of severe obesity was high overall, but particularly among women of African descent (40% (35% to 45%)). In contrast, raised serum cholesterol and smoking rates were higher among white people. Of hypertensives, 49% (216 of 442) had adequate blood pressure control. Overall, 18% (80 of 442) of hypertensives and 33% (62 of 188) of diabetics were undetected before our survey. Hypertensive subjects of African descent appeared more likely to have been detected (p = 0.034) but less likely to be adequately managed (p = 0.085).Conclusions-Hypertension and diabetes are raised two- to threefold in South Asians, Caribbeans, and West Africans in Britain. Detection, management, and control of hypertension has improved, but there are still differences between ethnic groups. Obesity is above the Health of the Nation targets in all ethnic groups, particularly in women of African descent. Preventive and treatment strategies for different ethnic groups in Britain need to consider both cultural differences and underlying susceptibility to different vascular diseases.