Evaluation for primary prevention of cardiovascular disease in a community.

这项研究的目的是在进行长期流行病学调查的地区检查初级预防的效果。 1999 - 2001年1期间，男性和女性冠心病和脑血管病的发病率均有所下降。 类似的死亡率下降趋势也大于发病率。 高血压、糖尿病和吸烟对心血管事件的影响较大，而肥胖和高脂血症对心血管事件的影响较小。 高血压、糖尿病和吸烟对心血管疾病的人群归因危险度分别为16.9%、5.9%和5.5%。 在此期间，男性的血压水平趋于平稳，女性则有所下降。 男性吸烟率下降了10%。 血压水平的下降和吸烟率的下降有助于人群中心血管疾病的有利趋势。

Aim of the study was to examine the effect of primary prevention in the area where a long-term epidemiological survey was conducted. Incidence of coronary heart disease and cerebrovascular disease was declined during 1999-20011 in men and women. Similar mortality trends were also declined more than the incidence ones. Impact of hypertension, diabetes, and smoking on cardiovascular events was large; on the other hand, that of obesity and hyperlipidemia was little. Population attributable risk of hypertension, diabetes, and smoking for cardiovascular disease was 16.9%, 5.9%, and 5.5%, respectively. During the periods, a level of blood pressure was level off in men and was decreased in women. Smoking rate was decreased by 10% in men. Declined level of blood pressure and smoking rate were contributed to the favorable trends of cardiovascular disease in the population.