印度的教育程度与心血管风险。
Cardiovascular risk according to educational status in India.
机构信息
Department of Medicine, Fortis Escorts Hospital, Jaipur, India.
出版信息
Prev Med. 2010 Nov;51(5):408-11. doi: 10.1016/j.ypmed.2010.08.014. Epub 2010 Sep 15.
OBJECTIVE
Influence of socioeconomic status on cardiovascular risk has not been well studied in low income countries. To determine risks in various educational status (ES) subjects we performed a study in India.
METHODS
Epidemiological study was performed in years 1999-2003 in Jaipur (India) for coronary risk factors among 1280 adults 20-59 years (men 619, women 661). ES was categorized into low (education ≤5 years); middle (6-12 years) and high (>12 years). Prevalence of risk factors and Framingham risk scores were determined.
RESULTS
Low ES was in 306, middle in 436 and high in 538. In low, middle and high ES respectively age-adjusted prevalence (%) of smoking was 19.0, 19.3, and 11.7; obesity 9.5, 16.7, and 22.1, hypertension 15.3, 30.5, and 44.0; hypercholesterolemia ≥200mg/dl 46.0, 48.4, and 54.6; low HDL cholesterol <40mg/dl 46.4, 56.4, and 38.3; metabolic syndrome 20.9, 25.7, and 28.6; and diabetes 6.9, 5.5, and 26.4. Framingham risk score was 5.7±4.8, 6.3±5.7 and 4.7±5.1 and calculated cardiovascular risk probability 5.2±5.7, 6.8±7.8 and 5.2±6.0 (P(trend)<0.05). Framingham risk score was significantly greater in low and middle ES (6.1±5.3) compared to high (4.7±5.1) (p<0.001). Adjustment for smoking attenuated the risk.
CONCLUSION
Low and middle educational status urban subjects in India have greater cardiovascular risk.
目的
在低收入国家，社会经济地位对心血管风险的影响尚未得到充分研究。为了确定不同教育程度（ES）人群的风险，我们在印度进行了一项研究。
方法
1999 年至 2003 年，在印度斋浦尔对 1280 名 20 至 59 岁成年人（男性 619 名，女性 661 名）进行了冠心病危险因素的流行病学研究。ES 分为低（教育年限≤5 年）、中（6-12 年）和高（>12 年）。确定了危险因素和弗雷明汉风险评分的患病率。
结果
低 ES 组 306 例，中 ES 组 436 例，高 ES 组 538 例。在低、中、高 ES 组中，年龄调整后的吸烟率分别为 19.0%、19.3%和 11.7%；肥胖率分别为 9.5%、16.7%和 22.1%；高血压患病率分别为 15.3%、30.5%和 44.0%；高胆固醇血症患病率（≥200mg/dl）分别为 46.0%、48.4%和 54.6%；低 HDL 胆固醇血症患病率（<40mg/dl）分别为 46.4%、56.4%和 38.3%；代谢综合征患病率分别为 20.9%、25.7%和 28.6%；糖尿病患病率分别为 6.9%、5.5%和 26.4%。弗雷明汉风险评分分别为 5.7±4.8、6.3±5.7 和 4.7±5.1，计算的心血管风险概率分别为 5.2±5.7、6.8±7.8 和 5.2±6.0（P<0.05）。低 ES 和中 ES 组的弗雷明汉风险评分（6.1±5.3）明显高于高 ES 组（4.7±5.1）（p<0.001）。调整吸烟因素后，风险降低。
结论
印度城市低教育程度和中等教育程度的人群患心血管疾病的风险更高。
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