Trends in self-reported multiple cardiovascular disease risk factors among adults in the United States, 1991-1999
Trends in self-reported multiple cardiovascular disease risk factors among adults in the United States, 1991-1999
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DOI：
10.1001/archinte.164.2.181
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发表时间：
2004-01-26
影响因子：
--
通讯作者：
Croft, JB
中科院分区：
文献类型：
--
作者：
Greenlund, KJ;Zheng, ZJ;Croft, JB
背景：关于多种心血管疾病（CVD）危险因素状况和长期趋势的国家级和州级数据很少。我们调查了1991年至1999年间自我报告的多种心血管疾病危险因素的流行情况。方法：行为风险因素监测系统是一项基于州的电话调查，调查对象为18岁或以上的成年人。1991年、1993年、1995年、1997年和1999年的调查确定了报告的高血压、高胆固醇水平、糖尿病、肥胖和当前吸烟状况。计算了具有每种危险因素和具有两种或两种以上危险因素的人的流行趋势。数据是根据2000年美国人口年龄标准化的。结果：从1991年到1999年，报告的高血压患病率从23.8%增加到25.4%，高胆固醇水平从24.9%增加到27.7%，糖尿病从5.5%增加到7.1%，肥胖从13.5%增加到20.3%，吸烟保持在21%左右。具有2种或2种以上危险因素的成年人患病率从1991年的23.6%增加到1999年的27.9%，并且在男性和女性以及所有种族或民族、年龄和教育群体中都显著增加。在各州中，多种危险因素的患病率在1991年为15.0%至29.9%，在1999年为18.7%至37.1%。从1991年到1999年，在36个州，多种危险因素的患病率增加了10%或更多。结论：已知多种危险因素的人群（占总人口的25%）的相当大比例表明，增加心血管疾病预防和减少危险因素的努力应侧重于全面的风险降低策略。
Background: There are few national- and state-level data on multiple cardiovascular disease (CVD) risk factor status and trends over time. We examined the prevalence of self-reported multiple CVD risk factors from 1991 through 1999.Methods: The Behavioral Risk Factor Surveillance System is a state-based telephone survey of adults 18 years or older. Surveys in 1991, 1993, 1995, 1997, and 1999 ascertained reported high blood pressure, high blood cholesterol level, diabetes, obesity, and current smoking status. Trends in the prevalence of persons with each risk factor and of having 2 or more risk factors were calculated. Data were age standardized to the 2000 US population.Results: From 1991 to 1999, the prevalence of reported high blood pressure increased from 23.8% to 25.4%, high cholesterol levels increased from 24.9% to 27.7%, diabetes increased from 5.5% to 7.1%, obesity increased from 13.5% to 20.3%, and smoking remained at approximately 21%. The prevalence of adults with 2 or more risk factors increased from 23.6% in 1991 to 27.9% in 1999 and significantly increased for both men and women and for all race or ethnic, age, and education groups. Among states, the prevalence of multiple risk factors ranged from 15.0% to 29.9% in 1991 and from 18.7% to 37.1% in 1999. From 1991 to 1999, the prevalence of multiple risk factors increased by 10% or more in 36 states.Conclusions: The substantial proportion of persons with known multiple risk factors (25% of the population) suggests that increased CVD prevention and risk factor reduction efforts should focus on comprehensive risk reduction strategies.