Kattainen Anna, Koskinen Seppo, Reunanen Antti, Martelin Tuija, Knekt Paul, Aromaa Arpo
Department of Health and Functional Capacity, National Public Health Institute, Mannerheimintie 166, 00300 Helsinki, Finland.
J Clin Epidemiol. 2004 Jan;57(1):82-8. doi: 10.1016/S0895-4356(03)00252-X.
The aim of this study was to estimate the importance of specific chronic cardiovascular diseases (CVDs) as determinants of disability.
One thousand two hundred eighty-eight (86%) participants from a random population sample of 1,500 individuals (from two geographical regions of Finland) aged 65-74 years were interviewed and clinically examined in 1997.
CVDs were strongly associated with disability. However, mental disorders were the strongest determinant of disability. Of specific CVDs, cerebrovascular diseases in men, and myocardial infarction, heart failure, and cerebrovascular diseases in women were significantly associated with disability after adjustment for age and comorbidity. In men 33% and in women 24% of disability was attributable to CVD, excluding lone hypertension.
CVDs are important determinants of disability among Finns aged 65-74 years. Due to the growing number of elderly people with CVDs, disability associated with these diseases is likely to become a growing social and health burden to the community.
本研究旨在评估特定慢性心血管疾病（CVDs）作为残疾决定因素的重要性。
1997年，对来自芬兰两个地理区域、年龄在65 - 74岁的1500名个体的随机人群样本中的1288名（86%）参与者进行了访谈和临床检查。
心血管疾病与残疾密切相关。然而，精神障碍是残疾的最强决定因素。在特定的心血管疾病中，男性的脑血管疾病以及女性的心肌梗死、心力衰竭和脑血管疾病在调整年龄和合并症后与残疾显著相关。排除单纯高血压后，男性33%的残疾和女性24%的残疾可归因于心血管疾病。
心血管疾病是65 - 74岁芬兰人残疾的重要决定因素。由于患有心血管疾病的老年人数量不断增加，与这些疾病相关的残疾可能会成为社区日益沉重的社会和健康负担。
