南亚人心血管危险因素的患病率及其相关因素：来自加利福尼亚两项基于人群调查的数据

Prevalence and correlates of cardiovascular risk factors in South Asians: population-based data from two California surveys.

作者信息

Ivey Susan L, Mehta Kala M, Fyr Christina L Wassel, Kanaya Alka M

机构信息

School of Public Health, University of California, Berkeley 94720-7360, USA.

出版信息

Ethn Dis. 2006 Autumn;16(4):886-93.

PMID:17061742

Abstract

OBJECTIVE

Few population-based studies report cardiovascular disease (CVD) risk factor prevalence for South Asians in the United States. We examined CVD risk for South Asians in California.

DESIGN/SETTING/PARTICIPANTS: We used data from two population-based surveys with South Asian participants in California, the California Health Interview Survey (CHIS) and the Cardiovascular Health among Asian Indian (CHAI) survey. The CHIS 2001 was conducted in English; 769 South Asians aged 25-83 years participated as one of many ethnic groups. The CHAI survey was population-based but focused on ethnicity-specific characteristics in 304 South Asians aged 25-80 years in English and Punjabi in 2001-2002.

MAIN OUTCOME MEASURES

A CVD risk score included smoking, hypertension, hypercholesterolemia, diabetes, myocardial infarction, and angina. Separate logistic regression models examined the association of sociodemographics, lifestyle, medical risk, acculturation, and "any CVD risk."

RESULTS

In CHAI, hypertension (20%), hypercholesterolemia (24%), and diabetes (10%) were high; smoking was low (12%). In CHIS, prevalence of these conditions was lower, except smoking (21%). Approximately 35% of participants in each survey had any CVD risk. Male sex, age, higher body mass index, education less than a bachelor's degree, and alcohol use were associated with CVD risk in both studies. The CHAI subjects interviewed in English had higher odds of any CVD risk than those interviewed in Punjabi (odds ratio 10.3, 95% confidence interval 2.9-36.7).

CONCLUSIONS

Data from multiple sources add crucial information about heterogeneity of risk within ethnic populations. South Asians in the CHIS had higher rates of smoking, but lower CVD risk scores than participants in the CHAI study. In CHAI, English language use was associated with increased CVD risk score. Additional research should examine if acculturation increases CVD risk.

摘要

目的

基于人群的研究中，鲜有报告美国南亚裔心血管疾病（CVD）危险因素的患病率。我们对加利福尼亚州南亚裔的心血管疾病风险进行了研究。

设计/地点/参与者：我们使用了两项针对加利福尼亚州南亚裔参与者的基于人群的调查数据，即加利福尼亚健康访谈调查（CHIS）和亚洲印度人心血管健康（CHAI）调查。2001年的CHIS以英语进行；769名年龄在25 - 83岁的南亚裔作为众多种族群体之一参与其中。CHAI调查基于人群，但重点关注2001 - 2002年304名年龄在25 - 80岁、使用英语和旁遮普语的南亚裔的种族特异性特征。

主要观察指标

心血管疾病风险评分包括吸烟、高血压、高胆固醇血症、糖尿病、心肌梗死和心绞痛。单独的逻辑回归模型研究了社会人口统计学、生活方式、医疗风险、文化适应和“任何心血管疾病风险”之间的关联。

结果

在CHAI中，高血压（20%）、高胆固醇血症（24%）和糖尿病（10%）的患病率较高；吸烟率较低（12%）。在CHIS中，除吸烟（21%）外，这些疾病的患病率较低。每项调查中约35%的参与者有任何心血管疾病风险。在两项研究中，男性、年龄、较高的体重指数、低于本科学历以及饮酒都与心血管疾病风险相关。用英语接受访谈的CHAI受试者出现任何心血管疾病风险的几率高于用旁遮普语接受访谈的受试者（优势比10.3，95%置信区间2.9 - 36.7）。