Socioeconomic status and trends in risk factors for cardiovascular diseases in the Danish MONICA population, 1982-1992
Socioeconomic status and trends in risk factors for cardiovascular diseases in the Danish MONICA population, 1982-1992
复制标题
DOI：
10.1136/jech.54.2.108
复制
发表时间：
2000-02-01
影响因子：
6.3
通讯作者：
Schroll, M
中科院分区：
文献类型：
--
作者：
Osler, M;Gerdes, LU;Schroll, M
研究目标——20 世纪 80 年代丹麦心血管死亡率下降幅度最大的是社会经济地位最高的人群。本研究探讨了心血管死亡率社会不平等的增加是否伴随着不同教育群体心血管危险因素的不同趋势。分析了 1982-84 年、1987 年和 1991-92 年进行的三项 WHO MONICA 横断面调查的设计数据，以估计与心血管死亡率相关的生物（体重、身高、体重指数、血压和血脂）和行为（吸烟、休闲期间的体力活动和饮食习惯）风险因素的趋势。教育状况。设置 - 丹麦哥本哈根国家。参与者 - 6695 名年龄在 30、40、50 和 60 岁的丹麦男性和女性。主要结果 - 在研究期间吸烟和大量吸烟的流行率有所下降，但仅限于受教育程度最高的群体。事实上，受教育程度最低的女性中重度吸烟的患病率有所增加。其余的生物和行为危险因素在考试时间和教育水平之间没有显着的交互作用，表明不同教育群体的趋势相同。然而，基于七个心血管危险因素的汇总指数有所改善，而且这种发展只出现在受教育程度最高的男性和女性中。 结论：20世纪80年代，教育群体之间吸烟率的差异有所增加，这导致了心血管总风险中现有的社会差异扩大。
Study objective-The decline in cardiovascular mortality in Denmark during the 1980s has been greatest in the highest socioeconomic groups of the population. This study examines whether the increased social inequalib in cardiovascular mortality has been accompanied by a different trend in cardiovascular risk factors in different educational groups.Design-Data from three cross sectional WHO MONICA surveys conducted in 1982-84, 1987, and 1991-92, were analysed to estimate trends in biological (weight, height, body mass index, blood pressure, and serum Lipids) and behavioural (smoking, physical activity during leisure, and eating habits) risk factors in relation to educational status.Setting-Country of Copenhagen, Denmark.Participants-6695 Danish men and women of ages 30, 40, 50, and 60 years.Main results-The prevalence of smoking and heavy smoking decreased during the study but only in the most educated groups. In fact, the prevalence of heavy smoking increased in the least educated women. There was no significant interaction for the remaining biological and behavioural risk factors between time of examination and educational level, indicating that the trend was the same in the different educational groups. However, a summary index based on seven cardiovascular risk factors improved, and this development was only seen in the most educated men and women.Conclusion-The difference between educational groups in prevalence of smoking increased during the 1980s, and this accounted for widening of an existing social difference in the total cardiovascular risk.