Prevalence and social correlates of cardiovascular disease risk factors in Harlem
Prevalence and social correlates of cardiovascular disease risk factors in Harlem
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DOI：
10.2105/ajph.89.3.302
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发表时间：
1999-03-01
影响因子：
12.7
通讯作者：
Shea, S
中科院分区：
文献类型：
--
作者：
Diez-Roux, AV;Northridge, ME;Shea, S
目标.本研究在一个以黑人为主的贫困城市社区调查了心血管疾病危险因素的患病率、社会相关性和聚集性。在以人口为基础的695名年龄在18至65岁的男性和女性的样本中，研究了危险因素患病率与社会人口学变量的关系。三分之一的男性和女性患有高血压，48%的男性和41%的女性吸烟，25%的男性和9%的女性超重，23%的男性和35%的女性报告在过去一个月没有休闲时间的身体活动。超过80%的男性和女性至少有一个这些风险因素，49%的男性和19%的女性有3个或更多的风险因素。收入和受教育程度与高血压、吸烟和缺乏体育活动呈负相关。有3个或更多的风险因素与低收入和低教育水平相关（极端比值比[OR] = 10.2，95%置信区间[CI] = 3.0，教育水平为34.5; OR= 3.7。CI = 1.6，收入为8.9），并有不稳定的工作或无家可归的历史。然而，城市社区是心血管疾病的高危人群。这些结果强调了社会环境因素在形成心血管风险中的重要性。
Objectives. This study examined the prevalence, social correlates, and clustering of cardiovascular disease risk factors in a predominantly Black, poor, urban community.Methods. Associations of risk factor prevalences with sociodemographic variables were examined in a population-based sample of 695 men and women aged 18 to 65 years living in Central Harlem.Results. One third of the men and women were hypertensive, 48% of the men and 41% of the women were smokers, 25% of the men and 9% of the women were overweight, and 23% of the men and 35% of the women reported no leisure-time physical activity over the past month. More than 80% of the men and women had at least 1 of these risk factors, and 49% of the men and 19% of the women had 3 or more risk factors. Income and education were inversely related to hypertension, smoking, and physical inactivity. Having 3 or more risk factors was associated with low income and low education (extreme odds ratio [OR] = 10.2, 95% confidence interval [CI] = 3.0, 34.5 for education; OR= 3.7. CI = 1.6, 8.9 for income) and with a history of unstable work or of homelessness.Conclusions. Disadvantaged, urban communities are at high risk for cardiovascular disease. These results highlight the importance of socioenvironmental factors in shaping cardiovascular risk.