Contextual socioeconomic determinants of cardiovascular risk factors in rural south-west China: a multilevel analysis.
Contextual socioeconomic determinants of cardiovascular risk factors in rural south-west China: a multilevel analysis.
复制标题
中国农村地区心血管危险因素的上下文社会经济决定因素：多层分析。
DOI：
10.1186/1471-2458-7-72
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发表时间：
2007-05-05
影响因子：
4.5
通讯作者：
Geater, Alan
中科院分区：
文献类型：
--
作者：
Le, Cai;Chongsuvivatwong, Virasakdi;Geater, Alan
我们研究了环境变量对中国西南部云南省石林县心血管危险因素的独立影响。根据概率与大小成正比，从10个乡中各选出3个村。采用简单随机抽样的方法，在每个选定的村庄抽取年龄≥45岁的200人。对6006人进行访谈，获得人口学特征、吸烟、饮酒状况等信息。测量血压、身高、体重、腰臀围。空腹血糖以10%的亚样本进行测量。背景数据来自官方报告。采用了调整个体变量和上下文变量的多级回归模型。与心血管疾病危险因素相关的环境变量包括：偏远村庄血压和空腹血糖较高，彝族饮酒比例高，识字率高，吸烟率低，平均腰臀比低，平均收入高，收缩压和体重指数（BMI）较低，但FBS较高。虽然背景经济地位与一些心血管疾病风险因素有关，但高收入村庄的空腹血糖水平更差。应审查经济发展战略，以避免对健康产生不利影响。
We examined independent influences of contextual variables on cardiovascular risk factors in Shilin county, Yunnan province, South-west China. Three villages were selected from each of the ten townships based on probability proportional to size. In each selected village, 200 individuals aged ≥ 45 years were chosen based on simple random sampling method. From 6006 individuals, information on demographic characteristics, smoking and drinking status was obtained by interview. Blood pressure, height, weight, and waist and hip girth were measured. Fasting blood sugar was measured in a 10-percent subsample. Contextual data were from official reports. Multi-level regression modelling with adjustment for individual and contextual variables was used. Contextual variables associated with CVD risk factors included: remoteness of village with higher blood pressure and fasting blood sugar, high proportion of Yi minority with drinking, high literacy rate with a lower rate of smoking and a lower mean waist-hip ratio, and high average income with lower systolic blood pressure and body mass index (BMI) but higher FBS. While contextual SES is associated with a few CVD risk factors, villages with high level of income are worse off in fasting blood sugar. Strategies of economic development should be reviewed to avoid adverse effects on health.
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影响因子：
16.2
作者：
Isomaa, B;Almgren, P;Groop, L
通讯作者：
Groop, L
影响因子：
5.4
作者：
Ezeamama, Amara E.;Viali, Satupaitea;McGarvey, Stephen T.
通讯作者：
McGarvey, Stephen T.
影响因子：
168.9
作者：
Gu, DF;Reynolds, K;He, J
通讯作者：
He, J
影响因子：
2.9
作者：
Fang, XH;Longstreth, WT;Dai, XY
通讯作者：
Dai, XY
影响因子：
6.3
作者：
Merlo, J;Östergren, PO;Berglund, G
通讯作者：
Berglund, G