Cardiovascular risk according to educational status in India
Cardiovascular risk according to educational status in India
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DOI：
10.1016/j.ypmed.2010.08.014
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发表时间：
2010-11-01
影响因子：
5.1
通讯作者：
Gupta, V. P.
中科院分区：
文献类型：
--
作者：
Gupta, Rajeev;Kaul, Vijay;Gupta, V. P.
Objective.在低收入国家，社会经济地位对心血管风险的影响尚未得到充分研究。为了确定各种教育状况（ES）的主题，我们在印度进行了一项研究。1999-2003年在斋浦尔（印度）对1280名20-59岁的成年人（男性619人，女性661人）进行了冠状动脉危险因素的流行病学研究。教育程度分为低（教育5年）、中（6-12年）和高（> 12年）。确定危险因素的患病率和脆性风险评分。低ES在306中，中等ES在436中，高ES在538中。在低、中和高ES中，年龄校正的吸烟患病率（%）分别为19.0、19.3和11.7;肥胖9.5、16.7和22.1;高血压15.3、30.5和44.0;高胆固醇血症≥ 200 mg/dl 46.0、48.4和54.6;低HDL胆固醇< 40 mg/dl 46.4、56.4和38.3;代谢综合征20.9、25.7和28.6;糖尿病6.9、5.5和26.4。心脏病风险评分为5.7 +/- 4.8、6.3 +/- 5.7和4.7 +/- 5.1，计算的心血管风险概率为5.2 +/- 5.7、6.8 +/- 7.8和5.2 +/- 6.0（P趋势< 0.05）。低和中ES患者的脆性风险评分（6.1 +/- 5.3）显著高于高ES患者（4.7 +/- 5.1）（p < 0.001）。调整吸烟减弱了风险。印度中低教育水平的城市受试者有更大的心血管风险。(C)2010年爱思唯尔公司All rights reserved.
Objective. Influence of socioeconomic status on cardiovascular risk has not been well studied in low income countries. To determine risks in various educational status (ES) subjects we performed a study in India.Methods. Epidemiological study was performed in years 1999-2003 in Jaipur (India) for coronary risk factors among 1280 adults 20-59 years (men 619, women 661). ES was categorized into low (education 5 years); middle (6-12 years) and high (> 12 years). Prevalence of risk factors and Framingham risk scores were determined.Results. Low ES was in 306, middle in 436 and high in 538. In low, middle and high ES respectively age-adjusted prevalence (%) of smoking was 19.0, 19.3, and 11.7; obesity 9.5, 16.7, and 22.1, hypertension 15.3, 30.5, and 44.0; hypercholesterolemia >= 200 mg/dl 46.0, 48.4, and 54.6; low HDL cholesterol < 40 mg/dl 46.4, 56.4, and 38.3; metabolic syndrome 20.9, 25.7, and 28.6; and diabetes 6.9, 5.5, and 26.4. Framingham risk score was 5.7 +/- 4.8, 6.3 +/- 5.7 and 4.7 +/- 5.1 and calculated cardiovascular risk probability 5.2 +/- 5.7, 6.8 +/- 7.8 and 5.2 +/- 6.0 (Ptrend < 0.05). Framingham risk score was significantly greater in low and middle ES (6.1 +/- 5.3) compared to high (4.7 +/- 5.1) (p < 0.001). Adjustment for smoking attenuated the risk.Conclusion. Low and middle educational status urban subjects in India have greater cardiovascular risk. (C) 2010 Elsevier Inc. All rights reserved.