Racial/ethnic and socioeconomic differences in multiple risk factors for heart disease and stroke in women: Behavioral risk factor surveillance system, 2003
Racial/ethnic and socioeconomic differences in multiple risk factors for heart disease and stroke in women: Behavioral risk factor surveillance system, 2003
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DOI：
10.1089/jwh.2006.15.1000
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发表时间：
2006-11-01
影响因子：
3.5
通讯作者：
Greenlund, K. J.
中科院分区：
文献类型：
--
作者：
Hayes, D. K.;Denny, C. H.;Greenlund, K. J.
目的：调查女性心脏病和中风的多种危险因素中的种族/民族和社会经济差异。方法：使用 2003 年行为危险因素监测系统 (BRFSS)（一项针对美国成年人的电话调查）中 153,466 名成年女性的数据来评估多种（即 >= 2 型糖尿病、目前吸烟、高血压、高胆固醇、肥胖或缺乏运动）心脏病和中风的多种危险因素的患病率。中风。描述性和多变量分析评估了种族/族裔和社会经济群体之间多种危险因素的差异。结果：超过三分之一 (36.5%) 的女性有多种危险因素。多种危险因素的年龄标准化患病率在白人和亚洲人中最低。调整年龄、收入、教育程度和健康覆盖范围后，与白人女性相比，黑人女性（OR = 1.53，95% CI = 1.42-1.64）和美洲原住民女性（1.36，95% CI = 1.11-1.67）出现多种危险因素的几率更大，而西班牙裔女性（OR = 0.83，95% CI = 0.76-0.91）则更低。多种危险因素的患病率估计和几率随着年龄的增长而增加；随着教育、收入和就业的增加而下降；没有健康保险的人的比例较低。吸烟在年轻女性中更为常见，而老年女性更有可能患有健康状况（高血压、高胆固醇或糖尿病）并且缺乏身体活动。结论：超过三分之一的美国女性有两种或两种以上心脏病和中风的危险因素。以降低风险为目标的预防计划对于减轻这些高危美国女性的心脏病和中风负担尤其重要。
Objective: To examine racial/ethnic and socioeconomic disparities in multiple risk factors for heart disease and stroke among women.Methods: Data from 153,466 adult women in the 2003 Behavioral Risk Factor Surveillance System (BRFSS), a telephone survey of U.S. adults, were used to assess the prevalence of multiple (i.e., >= 2 of diabetes, current smoking, high blood pressure, high cholesterol, obesity, or physical inactivity) risk factors for heart disease and stroke. Descriptive and multivariable analyses assessed differences in multiple risk factors among racial/ethnic and socioeconomic groups.Results: More than one third (36.5%) of all women had multiple risk factors. The age-standardized prevalence of multiple risk factors was lowest in whites and Asians. After adjustment for age, income, education, and health coverage, the odds for multiple risk factors was greater in black (OR = 1.53, 95% CI = 1.42-1.64) and Native American women (1.36, 95% CI = 1.11-1.67) and lower for Hispanic women (OR = 0.83, 95% CI = 0.76-0.91) compared with white women. Prevalence estimates and odds of multiple risk factors increased with age; decreased with education, income, and employment; and were lower in those with no health coverage. Smoking was more common in younger women, whereas older women were more likely to have medical conditions (high blood pressure, high cholesterol, or diabetes) and be physically inactive.Conclusions: Over one third of U. S. women have two or more risk factors for heart disease and stroke. Prevention programs that target risk reduction are especially critical to decrease the burden of heart disease and stroke in these higher-risk U.S. women.