Institute of Social and Preventive Medicine (IUMSP), Route de la Corniche 2, 1066 Epalinges, Switzerland.
BMC Public Health. 2012 Mar 28;12:246. doi: 10.1186/1471-2458-12-246.
In Switzerland, health policies are decided at the local level, but little is known regarding their impact on the screening and management of cardiovascular risk factors (CVRFs). We thus aimed at assessing geographical levels of CVRFs in Switzerland.
Swiss Health Survey for 2007 (N = 17,879). Seven administrative regions were defined: West (Leman), West-Central (Mittelland), Zurich, South (Ticino), North-West, East and Central Switzerland. Obesity, smoking, hypertension, dyslipidemia and diabetes prevalence, treatment and screening within the last 12 months were assessed by interview.
After multivariate adjustment for age, gender, educational level, marital status and Swiss citizenship, no significant differences were found between regions regarding prevalence of obesity or current smoking. Similarly, no differences were found regarding hypertension screening and prevalence. Two thirds of subjects who had been told they had high blood pressure were treated, the lowest treatment rates being found in East Switzerland: odds-ratio and [95% confidence interval] 0.65 [0.50-0.85]. Screening for hypercholesterolemia was more frequently reported in French (Leman) and Italian (Ticino) speaking regions. Four out of ten participants who had been told they had high cholesterol levels were treated and the lowest treatment rates were found in German-speaking regions. Screening for diabetes was higher in Ticino (1.24 [1.09 - 1.42]). Six out of ten participants who had been told they had diabetes were treated, the lowest treatment rates were found for German-speaking regions.
In Switzerland, cardiovascular risk factor screening and management differ between regions and these differences cannot be accounted for by differences in populations' characteristics. Management of most cardiovascular risk factors could be improved.
在瑞士，卫生政策是在地方层面制定的，但对于这些政策对心血管风险因素（CVRFs）的筛查和管理的影响知之甚少。因此，我们旨在评估瑞士各地的 CVRF 水平。
瑞士 2007 年健康调查（N=17879）。定义了七个行政区域：西部（莱芒）、中西部（米特兰）、苏黎世、南部（提契诺）、西北、东部和瑞士中部。通过访谈评估过去 12 个月内肥胖、吸烟、高血压、血脂异常和糖尿病的患病率、治疗和筛查情况。
在调整年龄、性别、教育程度、婚姻状况和瑞士公民身份等因素后，各地区之间的肥胖或当前吸烟率没有显著差异。同样，高血压筛查和患病率也没有差异。三分之二被告知患有高血压的患者接受了治疗，治疗率最低的是瑞士东部：比值比和[95%置信区间]0.65[0.50-0.85]。高胆固醇血症的筛查在说法语（莱芒）和意大利语（提契诺）的地区更为常见。十分之四的被告知患有高胆固醇水平的患者接受了治疗，治疗率最低的是德语区。在提契诺（1.24[1.09-1.42]），糖尿病的筛查率更高。十分之六的被告知患有糖尿病的患者接受了治疗，治疗率最低的是德语区。
在瑞士，心血管风险因素的筛查和管理在各地区存在差异，这些差异不能用人群特征的差异来解释。大多数心血管风险因素的管理可以得到改善。
