Jackson R, Beaglehole R, Yee R L, Small C, Scragg R
Department of Community Health, University of Auckland, School of Medicine.
N Z Med J. 1990 Aug 8;103(895):363-5.
This paper examines trends in Auckland over a five year period (1982-87) in the major cardiovascular risk factors: serum total cholesterol, blood pressure and cigarette smoking; trends in body mass index are also presented. The data came from two independent random samples of European people aged 40-64 years chosen from the central Auckland electoral rolls in 1982 (915 men and 476 women) and 1986-88 (503 men and 359 women); response rates were over 80% in both surveys. In the five year period self reported smoking declined by 22% in men and 10% in women; the decline was particularly marked in upper socioeconomic men and women aged 55-64 years. There were no consistent changes in either blood pressure or body mass index levels. Serum cholesterol levels, after adjustment for the change in laboratory methods, declined by approximately 1% in both men and women. Cardiovascular risk factor levels remain high in Auckland; comprehensive population based prevention programmes, such as Heartbeat (New Zealand), are urgently required in New Zealand.
本文研究了奥克兰在五年期间（1982 - 1987年）主要心血管危险因素的变化趋势，这些因素包括血清总胆固醇、血压和吸烟情况；同时也给出了体重指数的变化趋势。数据来自两个独立的随机样本，样本选取了1982年（915名男性和476名女性）以及1986 - 1988年（503名男性和359名女性）奥克兰市中心选民登记册中年龄在40 - 64岁的欧洲人；两次调查的回应率均超过80%。在这五年期间，男性自我报告的吸烟率下降了22%，女性下降了10%；这种下降在社会经济地位较高的55 - 64岁男性和女性中尤为明显。血压和体重指数水平均无持续变化。在对实验室检测方法的变化进行调整后，男性和女性的血清胆固醇水平均下降了约1%。奥克兰的心血管危险因素水平仍然很高；新西兰迫切需要开展全面的基于人群的预防项目，如“心跳（新西兰）”项目。
