Analysis of the Prevalence of Cardiovascular Disease and Associated Risk Factors for European-American and African-American Populations in the State of Pennsylvania 2005-2009
Analysis of the Prevalence of Cardiovascular Disease and Associated Risk Factors for European-American and African-American Populations in the State of Pennsylvania 2005-2009
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DOI：
10.1016/j.amjcard.2012.08.045
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发表时间：
2013-01-01
影响因子：
2.8
通讯作者：
Liu, Longjian
中科院分区：
文献类型：
--
作者：
Long, Yong;Gracely, Edward J.;Liu, Longjian
我们使用宾夕法尼亚州行为风险因素监测系统的全州代表性数据来检验心血管疾病(CVD)及其相关风险因素的负担。对2005年、2007年和2009年参加宾夕法尼亚州行为危险因素监测系统的35,576名年龄为18岁的受试者的数据进行了分析。计算年龄调整后的心血管疾病患病率。应用Logistic回归分析来检验危险因素与心血管疾病患病率之间的关系，并对混杂变量进行调整。结果表明，在这两个欧洲裔美国人中，心血管疾病、冠心病和中风的患病率没有显著变化。或非裔美国人从2005年到2009年(p>；0.05)。非洲裔美国人的心血管疾病发病率明显高于欧洲裔美国人。尽管欧洲裔美国人的吸烟率显著下降，但从2005年到2009年，其他几个心血管疾病危险因素(即肥胖、高血压和高胆固醇血症)显著增加。在非裔美国人中也观察到了类似的变化，尽管这些变化没有达到统计学意义。Logistic回归分析表明，非裔美国人患心血管疾病的风险增加了35%。高中以下文化程度、吸烟、肥胖、高血压和糖尿病与心血管疾病显著正相关。总而言之，从2005年到2009年，宾夕法尼亚州在控制心血管疾病和降低危险因素方面没有取得显著成就。必须对欧洲和非裔美国人的高血压、肥胖症和糖尿病进行额外的积极控制，以减轻心血管疾病的负担。Elsevier Inc.出版(Am J Medicol 2013；111：68-72)
We examined the burden of cardiovascular disease (CVD) and its associated risk factors using statewide representative data from the Pennsylvania Behavior Risk Factors Surveillance System. The data from 35,576 subjects aged >= 18 years participating in the Pennsylvania Behavior Risk Factors Surveillance System in 2005, 2007, and 2009 were analyzed. The age-adjusted prevalence rates of CVD were computed. Logistic regression analysis was applied to examine associations between the risk factors and CVD prevalence, with adjustment for confounding variables. The results showed that no significant changes in the prevalence of CVD, coronary heart disease, and stroke were observed in either European Americans. or African Americans from 2005 to 2009 (p >0.05). African Americans had significantly greater CVD rates than European Americans. Although smoking rates significantly decreased, several other CVD risk factors (i.e., obesity, hypertension, and hypercholesterolemia) significantly increased from 2005 to 2009 in European Americans. Similar changes were Observed in African Americans, although these changes did not reach statistical, significance. Logistic regression analysis indicated that African Americans had a 35% greater risk of CVD. Education level less than high school, smoking, obesity, hypertension, and diabetes were significantly and positively associated With CVD. In conclusion, no significant achievements in CVD control and risk factor reduction were observed from 2005 to 2009 in Pennsylvania. Additional aggressive control of hypertension, obesity, and diabetes for both European and African Americans must be made to reduce the burden of CVD. Published by Elsevier Inc. (Am J Cardiol 2013;111:68-72)