Sociodemographic factors and the risk of developing cardiovascular disease in Bangladesh.
Sociodemographic factors and the risk of developing cardiovascular disease in Bangladesh.
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孟加拉国的社会人口因素和患心血管疾病的风险。
DOI：
10.1016/j.amepre.2014.10.009
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发表时间：
2015
期刊：
影响因子：
5.5
通讯作者：
Kizuki M.
中科院分区：
文献类型：
--
作者：
Rahman M;Nakamura K;Seino K;Kizuki M.
背景预测 10 年中风或心肌梗死风险的社会人口学决定因素对于识别风险增加的患者至关重要。虽然预测心血管疾病 (CVD) 风险的一些危险因素已被记录，但考虑到各种社会经济和人口因素，进一步探索是必要的。目的根据 10 年预测，在高血压患者中并通过社会人口学风险差异，使用全国代表性调查来检查中风或心肌梗塞的危险因素。方法数据来自 2011 年孟加拉国人口健康调查，并于 2014 年 3 月和 7 月进行分析。分析基于 1,620 名高血压患者的回答个人。应用世界卫生组织预测10年中风或心肌梗死风险的指南将CVD风险分为低、中、高三级。结果共有21.8%的成人高血压患者处于CVD高风险。调整后的序数逻辑回归模型显示，女性户主家庭与男性户主家庭相比（AOR=1.85）；城市与农村居住地（AOR=1.32）；超重/肥胖与体重不足（AOR=1.80）；与 35-54 岁相比，55-69 岁 (AOR=1.95) 或 ≥70 岁 (AOR=2.87) 与较高的 CVD 风险显着相关。 CVD风险分层分布存在地区差异。结论女性户主家庭、城市居住、超重/肥胖、高龄和地区差异是高血压患者CVD风险较高的相关因素。
BackgroundSociodemographic determinants of predicted 10-year risk for stroke or myocardial infarction are vital to identify patients who are at increased risk. Although some risk factors of predicted cardiovascular disease (CVD) risk are documented, further exploration is necessary considering various socioeconomic and demographic factors.PurposeTo examine risk factors for stroke or myocardial infarction according to 10-year prediction, among hypertensive patients and by sociodemographic risk differences, using a nationally representative survey.MethodsData were obtained from the 2011 Bangladesh Demographic Health Survey and analyzed in March and July 2014. The analyses were based on responses from 1,620 hypertensive individuals. WHO guidelines for predicting 10-year risk of stroke or myocardial infarction were applied to categorize risk of CVD into low, medium, or high strata.ResultsA total of 21.8% of hypertensive adults were at high risk for CVD. An adjusted ordinal logistic regression model showed that a female- versus male-headed household (AOR=1.85); an urban versus rural residence (AOR=1.32); being overweight/obese versus underweight (AOR=1.80); and being aged 55–69 years (AOR=1.95) or ≥70 years (AOR=2.87) versus 35–54 years were significantly associated with higher CVD risk. A regional difference in distribution of CVD risk strata was observed.ConclusionsLiving in a female-headed household, having an urban residence, being overweight/obese, old age, and regional variations are factors associated with higher risk of CVD among hypertensive patients.