Cardiovascular disease and risk factors in Montana American Indians and non-Indians
Cardiovascular disease and risk factors in Montana American Indians and non-Indians
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DOI：
10.1016/s0749-3797(00)00312-3
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发表时间：
2001-04-01
影响因子：
5.5
通讯作者：
Helgerson, SD
中科院分区：
文献类型：
--
作者：
Harwell, TS;Gohdes, D;Helgerson, SD
背景：心血管疾病（CVD）是美国印第安人和非印第安人成年人死亡的主要原因。少数已发表的研究比较了同一地理区域内印第安人与非印第安人的心血管疾病患病率和相关危险因素。目的：比较蒙大拿州美国印第安人和非印第安人人群的心血管疾病和危险因素。成年美国印第安人（n=1000）生活在蒙大拿州的七个保留地或附近，非印第安人（n=905）通过1999年的行为风险因素监测调查（BRFSS），蒙大拿州全州范围内进行了采访：年龄大于或等于45岁的印度人报告了显着较高的心血管疾病的患病率相比，非印度人（18%比10%）。在18-44岁的人群中，与非印度人相比，印度人更容易报告高血压（15%对10%），肥胖（29%对12%）和吸烟（42%对24%）。对于年龄大于或等于45岁的人，与非印度人相比，印度人报告糖尿病（24%对9%），肥胖（38%对16%）和吸烟（32%对13%）的发病率更高。年龄大于或等于45岁的非印度人报告被诊断为高胆固醇的频率比印度人（32%至24%）。结论：蒙大拿州的印度人和非印度人都报告了大量的心血管疾病负担。两个人群的CVD风险模式不同。预防计划应针对这些社区的风险负担，特别强调戒烟和预防肥胖。
Background: Cardiovascular disease (CVD) is the leading cause of death for both American Indian and non-Indian adults. Few published studies have compared the prevalence of CVD and related risk factors in Indians to that in non-Indians in the same geographic area.Objective: To compare CVD and risk factors in American Indian and non-Indian populations in Montana.Methods: Adult American Indians (n=1000) living on or near Montana's seven reservations and non-Indian (n=905) Montanans statewide were interviewed through the 1999 Behavioral Risk Factor Surveillance Survey (BRFSS).Results: Indians aged greater than or equal to 45 years reported a significantly higher prevalence of CVD compared to non-Indians (18% vs 10%). In persons aged 18-44 years, Indians were more likely to report hypertension (15% vs 10%), obesity (29% vs 12%), and smoking (42% vs 24%) compared to non-Indians. For persons aged greater than or equal to 45 years, Indians reported higher rates of diabetes (24% vs 9%), obesity (38% vs 16%), and smoking (32% vs 13%) compared to non-Indians. Non-Indians aged greater than or equal to 45 years reported having been diagnosed with high cholesterol more frequently than did Indians (32% ts 24%).Conclusions: Both Indians and non-Indians in Montana reported a substantial burden of CVD. The CVD risk patterns differ in the two populations. Prevention programs should he tailored to the risk burdens in these communities with particular emphasis on smoking cessation and the prevention of obesity.