Cosín J, Asín E, Marrugat J, Elosua R, Arós F, de los Reyes M, Castro-Beiras A, Cabadés A, Diago J L, López-Bescos L, Vila J
Hospital La Fe, Valencia, Spain.
Eur J Epidemiol. 1999 Apr;15(4):323-30. doi: 10.1023/a:1007542700074.
The frequency of coronary heart disease in a community is usually measured by myocardial infarction incidence and mortality rates. The measurement of the prevalence of angina pectoris may, however, become a convenient way of assessing coronary heart disease morbidity in the future. The aim of this study was to determine the prevalence of angina and validity of the Rose questionnaire in the Spanish population aged from 45 to 74 years. A cross-sectional study was conducted in 10,248 subjects (45-74 years), representative of the Spanish population. The WHO Rose questionnaire was used and a construct validation against regional mortality rates and cardiovascular risk factor prevalence was devised. The overall angina prevalence increased with age both in men and women, but was higher in the latter (7.3% and 7.7%, respectively). Angina prevalence also increased with the number of cardiovascular risk factors present and correlated with regional CHD mortality rates (r = 0.66). Sensitivity and specificity results of the Rose questionnaire were low when tested against exercise test (52.9% and 52.1%, respectively). As conclusions, Rose questionnaire is a reliable tool for assessing angina prevalence in the Spanish population which is similar to that of other industrialized countries with higher myocardial infarction morbidity and mortality.
社区中冠心病的发病频率通常通过心肌梗死发病率和死亡率来衡量。然而，测量心绞痛患病率可能会成为未来评估冠心病发病率的一种便捷方法。本研究的目的是确定西班牙45至74岁人群中心绞痛的患病率以及罗斯问卷的有效性。对10248名代表西班牙人口的受试者（45至74岁）进行了一项横断面研究。使用了世界卫生组织的罗斯问卷，并针对区域死亡率和心血管危险因素患病率设计了结构效度验证。总体心绞痛患病率在男性和女性中均随年龄增长而增加，但女性更高（分别为7.3%和7.7%）。心绞痛患病率也随着存在的心血管危险因素数量的增加而增加，并且与区域冠心病死亡率相关（r = 0.66）。与运动试验相比时，罗斯问卷的敏感性和特异性结果较低（分别为52.9%和52.1%）。结论是，罗斯问卷是评估西班牙人群心绞痛患病率的可靠工具，该患病率与其他心肌梗死发病率和死亡率较高的工业化国家相似。
