López-Bescós L, Cosín J, Elosua R, Cabadés A, de los Reyes M, Arós F, Diago J L, Asín E, Castro-Beiras A, Marrugat J
Fundación Hospital Alcorcón, Madrid.
Rev Esp Cardiol. 1999 Dec;52(12):1045-56.
The study of angina prevalence has received little attention in the analysis of the dimension of coronary heart disease. The aim of this study was to determine the prevalence of angina and cardiovascular risk factors in the 45- to 74-year-old population of the different autonomous regions of Spain.
A sample of 10,248 subjects was recruited. Sampling was stratified by gender and age groups (45-54, 55-64 and 65 to 74 years), and proportional to the population distribution of the different autonomous regions. A multistage sampling was performed, firstly 200 villages were randomly selected, secondly three different socio-economic household were chosen. Sample unit was neighbouring households. Rose questionnaire of angina and a structured questionnaire to collect socio-demographic and risk factor variables were administered.
Angina prevalence in the 45- to 74-year-old Spanish population was 7.5%. The autonomous regions with the higher and lower prevalence were Baleares (11.4%) and Basque Country (3.1%), respectively. The Pearson correlation coefficient between angina prevalence and ischemic heart disease or cardiovascular disease mortality in men and women was 0.52 and 0.55, and 0.31 and 0.44, respectively. The self reported prevalence of hypertension, dyslipemia, diabetes and smoking was 31.1%, 24.2%, 14.3% and 34.6% respectively.
Angina prevalence in Spain is similar to that of developed countries although significant differences were observed among the autonomous regions of Spain. These differences correlate with those observed in ischemic heart disease or cardiovascular mortality among them and are associated with the cardiovascular risk factors prevalence which also varies among communities.
在冠心病范畴分析中，心绞痛患病率的研究较少受到关注。本研究旨在确定西班牙不同自治区45至74岁人群中心绞痛及心血管危险因素的患病率。
招募了10248名受试者。抽样按性别和年龄组（45 - 54岁、55 - 64岁和65至74岁）分层，并与不同自治区的人口分布成比例。进行了多阶段抽样，首先随机选择200个村庄，其次选择三个不同社会经济阶层的家庭。样本单位是相邻家庭。采用罗斯心绞痛问卷以及用于收集社会人口统计学和危险因素变量的结构化问卷。
西班牙45至74岁人群中心绞痛患病率为7.5%。患病率较高和较低的自治区分别是巴利阿里群岛（11.4%）和巴斯克地区（3.1%）。男性和女性心绞痛患病率与缺血性心脏病或心血管疾病死亡率之间的皮尔逊相关系数分别为0.52和0.55，以及0.31和0.44。自我报告的高血压、血脂异常、糖尿病和吸烟患病率分别为31.1%、24.2%、14.3%和34.6%。
西班牙的心绞痛患病率与发达国家相似，尽管在西班牙各自治区之间观察到显著差异。这些差异与在它们之中观察到的缺血性心脏病或心血管死亡率的差异相关，并且与心血管危险因素患病率相关，而心血管危险因素患病率在不同社区之间也有所不同。
