Symptoms and risk factors for stroke in a community-based observational sample in Viet Nam.
Symptoms and risk factors for stroke in a community-based observational sample in Viet Nam.
复制标题
越南社区观察样本中的中风症状和危险因素。
DOI：
10.1016/j.jegh.2012.06.001
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发表时间：
2012
影响因子：
7.3
通讯作者：
Tirschwell,DavidL
中科院分区：
文献类型：
--
作者：
Fitzpatrick,AnnetteL;Ngo,QuangVan;Ly,KietA;Ton,ThanhGN;LongstrethJr,WT;Vo,TungT;Heitzinger,Kristen;Pham,ChienH;Tirschwell,DavidL
越南正在经历从传染病向慢性病的健康转变。关于心血管疾病（包括中风）的数据有限。方法采用世界卫生组织（WHO）指南，随机收集越南岘港市6个社区参与者的人口统计学、病史、血压、人体测量学和健康行为数据。采用卒中症状自述和标准化卒中无状态验证问卷收集卒中症状。多因素logistic回归用于确定与卒中症状存在相关的因素。结果共检查成人1621人，平均年龄52.0岁（±12.5岁），其中女性56.1%。27.3%的参与者被发现有高血压，26.2%的人吸烟，16.1%的人超重。超过三分之二的高血压患者不知道自己的病情。几乎四分之一的参与者在问卷中被确定为至少经历过一种中风症状。年龄、农村居住和教育程度与卒中症状的出现有关。根据人口统计学调整的模型发现，高血压、高胆固醇、报告的严重胸痛、以前吸烟和超重与卒中症状的较高患病率相关。结论岘港地区卒中症状的高频率要求进一步评估和干预措施，以减少越南和其他卫生转型国家高血压和其他慢性疾病的危险因素。
BackgroundViet Nam is experiencing a health transition from infectious to chronic disease. Data on cardiovascular diseases, including strokes, are limited.MethodsData were randomly collected from six communities in Da Nang, Viet Nam, on participant demographics, medical history, blood pressure, anthropometrics and health behavior using World Health Organization (WHO) guidelines. Stroke symptoms were collected by self-report with the standardized Questionnaire for Verifying Stroke Free Status. Multivariate logistic regression was used to identify factors associated with the presence of stroke symptoms.ResultsOne thousand six hundred and twenty one adults were examined with a mean age of 52.0 years (±12.5 years), of which 56.1% were women. 27.3% of the participants were found to have hypertension, 26.2% used tobacco, and 16.1% were overweight. More than two-thirds of the participants with hypertension were unaware of their condition. Almost one fourth of the participants were identified by the questionnaire as previously experiencing at least one stroke symptom. Age, rural residence, and education were associated with the presence of stroke symptoms. Models adjusted for demographics found hypertension, high cholesterol, reported severe chest pain, former smoking, and being overweight to be associated with a higher prevalence of stroke symptoms.ConclusionsThe high frequency of stroke symptoms in Da Nang calls for further evaluation and interventions to reduce hypertension and other risk factors for chronic disease in Viet Nam and other health transition countries.