Coronary heart disease in black populations. II. Risk factors.
Coronary heart disease in black populations. II. Risk factors.
复制标题
黑人人群的冠心病。
DOI：
10.1016/0002-8703(82)90022-9
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发表时间：
1982
影响因子：
4.8
通讯作者：
Grant,CT
中科院分区：
文献类型：
--
作者：
Gillum,RF;Grant,CT
尽管冠心病是美国黑人死亡的主要原因，但文献中很少有数据表明在黑人群体中观察到的白人血压、血脂水平、吸烟习惯和其他冠心病危险因素之间统计关联的强度和一致性。因此，不存在适用于黑人的单一或多变量风险评分。尽管有大量关于黑人高血压、吸烟和高胆固醇血症患病率的信息，但大多数其他潜在危险因素（A 型行为模式、缺乏身体活动和饮食结构）的患病率数据不足。这种信息的缺乏严重阻碍了对黑人先心病病因的充分了解以及对先心病的一级和二级预防。概述了我们认为迫切需要的七种类型的研究。
Despite the fact that coronary heart disease is the leading cause of death among United States blacks, few data are available in the literature about the strength and consistency of the statistical associations of blood pressure, blood lipid levels, smoking habits, and other CHD risk factors in whites as observed in black populations. Consequently, no single or multivariate risk score exists that is applicable to blacks. Although considerable information is available about population prevalence of hypertension, smoking, and hypercholesterolemia among blacks, prevalence data are inadequate for most other potential risk factors (type A behavior pattern, physical inactivity, and dietary composition). This lack of information is a serious impediment to full understanding of the cause of CHD as well as to primary and secondary prevention of CHD in the black population. Seven types of research are outlined that we consider urgently needed.