The frequency and distribution of cardiovascular disease risk factors among Nebraska women enrolled in the WISEWOMAN screening program
The frequency and distribution of cardiovascular disease risk factors among Nebraska women enrolled in the WISEWOMAN screening program
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DOI：
10.1089/jwh.2007.0438
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发表时间：
2008-05-01
影响因子：
3.5
通讯作者：
Anderson, James R.
中科院分区：
文献类型：
--
作者：
Feresu, Shingairai A.;Zhang, Wanqing;Anderson, James R.
目的：研究心血管疾病（CVD）的危险因素和变化的10年冠心病（CHD）的危险因素的妇女谁参加了WISEWOMAN程序在Nebraska.Methods：数据进行分析，共有10,739名妇女谁接受CVD筛查2002年9月至2004年12月。我们研究了社会人口学特征与心血管疾病危险因素之间的关系，包括高胆固醇、高血压、高体重指数（BMI）和糖尿病。此外，我们评估了10年的冠心病风险和CVD的危险因素的变化。结果：高血糖的发病率为31/1000，高血压的发病率为66/1000，高胆固醇的发病率为157/1000。肥胖患病率为447/1000。非白人、老年人、受教育程度较低和农村妇女更有可能超重或肥胖。年龄较大、受教育程度较低、超重或肥胖的女性更容易患高血糖和高血压。老年人和超重肥胖的妇女更有可能有高总胆固醇和增加10年的冠心病risk.Conclusions：种族，年龄和农村居住与心血管疾病的危险因素在内布拉斯加州低收入妇女。应更仔细地审查计划资格要求作为回访障碍的影响，并应采取促进WISEWOMAN项目重复筛查的战略。此外，社会经济地位较低的妇女不太可能返回重复访问，这表明需要进一步调查，以了解为什么这些妇女没有返回筛查服务。
Objectives: To examine cardiovascular disease (CVD) risk factors and changes in the 10-year coronary heart disease (CHD) risk factors in women who participated in the WISEWOMAN program in Nebraska.Methods: Data for analysis were available for a total of 10,739 women who received CVD screening between September 2002 and December 2004. We examined the relationships between sociodemographic characteristics and CVD risk factors, including high cholesterol, high blood pressure, high body mass index (BMI), and diabetes. Additionally, we assessed the 10-year CHD risk and the change in risk factors for CVD.Results: The incidence was 31 per 1000 for hyperglycemia, 66 per 1000 for hypertension, and 157 per 1000 for high cholesterol. The prevalence of obesity was 447 per 1000. Nonwhite, older, less educated, and rural women were more likely to be overweight or obese. Older, less educated, and overweight to obese women were more likely to have hyperglycemia and high blood pressure. Older and overweight to obese women were more likely to have high total cholesterol and an increased 10-year CHD risk.Conclusions: Race, age, and rural residence were related to CVD risk factors among low-income women in Nebraska. The effect of program eligibility requirements as a barrier to return visits should be more closely examined, and strategies to facilitate repeat screenings on WISEWOMAN projects should be undertaken. Additionally, women on the lower end of the socioeconomic spectrum were less likely to return for repeat visits, suggesting that further investigation is needed to understand why these women fail to return for screening services.