Cardiovascular disease risk factors among older black, Mexican-American, and white women and men: An analysis of NHANES III, 1988-1994
Cardiovascular disease risk factors among older black, Mexican-American, and white women and men: An analysis of NHANES III, 1988-1994
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DOI：
10.1046/j.1532-5415.2001.49030.x
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发表时间：
2001-02-01
影响因子：
6.3
通讯作者：
Pudaric, S
中科院分区：
文献类型：
--
作者：
Sundquist, J;Winkleby, MA;Pudaric, S
背景：在老年人群中，心血管疾病（CVD）危险因素的种族差异研究很少。目的：在考虑社会经济地位（SES）后，研究种族与CVD危险因素的关系，并研究CVD危险因素人群的健康行为。设计：第三次全国健康与营养检查调查，1988- 1994。地点：89个移动的检查中心。参与者：700名黑人、628名墨西哥裔美国人和2192名白色女性和男性，年龄在65至84岁之间。结果：在考虑了年龄和社会经济地位后，黑人和墨西哥裔美国妇女的II型糖尿病患病率明显高于白色妇女。此外，黑人女性明显比白色女性更容易患上腹部肥胖和高血压，并且更容易缺乏体力活动。黑人男性高血压和缺乏运动的患病率明显高于白色男性。然而，黑人男性腹部肥胖的患病率低于白色男性，黑人女性非高密度脂蛋白胆固醇的患病率低于白色女性。在那些与心血管疾病的危险因素，健康行为需要改善，特别是在墨西哥裔美国妇女的主要语言是Spanish. Conclusions：在这个国家的样本老年妇女和男子，黑人和墨西哥裔美国妇女和黑人男子的心血管疾病的风险最大。这些发现与年轻少数民族人群中心血管疾病风险升高相平行，并主张适当的一级和二级预防计划，根据老年少数民族的语言，文化和医疗需求进行修改。
CONTEXT: There are few studies of ethnic differences in cardiovascular disease (CVD) risk factors in older populations.OBJECTIVES: To examine the association of ethnicity on CVD risk factors, after accounting for socioeconomic status (SES), and to examine health behaviors among those with CVD risk factors.DESIGN: Third National Health and Nutrition Examination Survey, 1988-1994.SETTING: Eighty-nine mobile examination centers.PARTICIPANTS: 700 black, 628 Mexican-American, and 2192 white women and men age 65 to 84 years.MEASUREMENTS: Ethnicity in relation to type II diabetes mellitus, physical inactivity, abdominal obesity, hypertension, cigarette smoking and non-high-density lipoprotein cholesterol (non-HDL-C).RESULTS: After accounting for age and SES, both black and Mexican-American women had significantly higher prevalences of type II diabetes than white women. In addition, black women were significantly more likely to have abdominal obesity and hypertension and to be physically inactive than white women. Black men had significantly higher prevalences of hypertension and physical inactivity than white men. However, black men had lower prevalences of abdominal obesity than white men, and black women had lower prevalences of high non-HDL-C than white women. Among those with CVD risk factors, health behaviors were in need of improvement, especially among Mexican-American women whose primary language was Spanish.CONCLUSIONS: In this national sample of older women and men, black and Mexican American women and black men were at the greatest risk for CVD. These findings parallel the heightened risk of CVD among younger ethnic minority populations and argue for appropriate primary and secondary prevention programs, modified for the language, cultural, and medical needs of older ethnic minorities.