Accelerating cardiovascular risk factor change in ethnic minority and low socioeconomic groups
Accelerating cardiovascular risk factor change in ethnic minority and low socioeconomic groups
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DOI：
10.1016/s1047-2797(97)80012-9
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发表时间：
1997-10-01
影响因子：
5.6
通讯作者：
Winkleby, MA
中科院分区：
文献类型：
--
作者：
Winkleby, MA
目的：在过去的30年里，心血管疾病（CVD）危险因素和事件在总体人群中发生了显著下降。然而，少数民族和低社会经济群体仍然有较高的心血管疾病发病率，以及过早发病和死亡。方法：回顾流行病学研究，考察种族和社会经济地位（SES）对心血管疾病的影响。结果：研究表明，在心血管疾病研究中，种族的影响可能被高估，而社会经济地位的影响可能被低估，因为种族和社会经济地位彼此之间以及与心血管疾病密切相关。进一步的研究表明，分类数据如何能够阐明不同种族和社会经济地位的心血管疾病差异。还显示了按种族和社会经济地位划分的心血管疾病危险因素和事件的趋势。结论：未来10年的挑战是继续降低总体人群心血管疾病危险因素，并加速少数民族和低社会经济地位人群心血管疾病危险因素的下降。建议采用两种相辅相成的干预办法，即全民办法和目标小组办法；这一组合将心血管疾病预防的好处扩展到日益多样化的美国人。(C) 1997爱思唯尔科学有限公司
PURPOSE: Substantial declines in cardiovascular disease (CVD) risk factors and events have occurred in the overall population during the last 30 years. However, ethnic minority and low socioeconomic groups continue to have high rates of CVD, as well as premature illness and death.METHODS: Epidemiologic studies that examine the impact of ethnic and socioeconomic status (SES) on CVD are reviewed.RESULTS: Studies illustrate how the effects of ethnicity can be overestimated and the effects of SES can be underestimated in CVD studies because both ethnicity and SES are strongly associated with each other, as well as with CVD. Further studies show how disaggregated data can elucidate CVD differences by ethnicity and SES. Trends in CVD risk factors and events by ethnicity and SES are also shown.CONCLUSIONS: The challenge during the next decade is to continue the declines in CVD risk factors in the overall population and accelerate the declines in ethnic minority and low SES groups. Two mutually reinforcing intervention approaches are recommended, a population-wide approach and a targeted subgroup approach; a combination that extends the benefits of CVD prevention to the growing diversity of Americans. (C) 1997 Elsevier Science Inc.