Fatema Kaniz, Natasha Khurshid, Ali Liaquat
Department of Epidemiology, Bangladesh, University of Health Sciences, Mirpur, Dhaka, Bangladesh; School of Public Health and Community Medicine, University of New South Wales, Australia.
Department of Health Education & Health Promotion, Bangladesh, University of Health Sciences , Mirpur, Dhaka, Bangladesh.
J Public Health Afr. 2014 Dec 19;5(2):373. doi: 10.4081/jphia.2014.373. eCollection 2014 Jun 29.
To estimate the prevalence and identify correlates of anthropometry and clinical risk factors for cardiovascular diseases (CVDs) among ready-made garment (RMG) of workers, majority are females, come from low-socioeconomics conditions. Population-based cross-sectional study with 614 individuals aged ≥18 years were recruited from six different RMG factories. In total, of 313 male (46%) and 301 of female (56%) workers had body mass index (BMI) in the overweight and obese range as per Asian cut off values with corresponding reflection in waist hip ratio (WHR). High proportion of male 84% (95% confidence interval 81-87) had smoking habits. The prevalence of hypertension (HTN), dyslipidemia were 24% vs 15%; 56% 43% among males and females respectively. Prevalence of diabetes was 7.3% (5.3-9.4) and pre-diabetes was 10.6% (8.2-13) and it showed female preponderance (4.5% male vs 10.3% female). In multivariable logistic regression HTN showed significant association with age, gender, BMI; glycemic status with age, genderand WHR; dyslipidemia with BMI and WHR. A substantial proportion of RMG workers are at an increased risk of CVDs which need focused attention to reduce smoking (among males) and body-weight and central obesity, particularly in females.
为了估计成衣厂工人（大多数为女性，来自社会经济条件较差的群体）中心血管疾病（CVD）的人体测量学和临床风险因素的患病率并确定其相关因素，我们开展了一项基于人群的横断面研究，从六个不同的成衣厂招募了614名年龄≥18岁的个体。根据亚洲标准值，共有313名男性（46%）和301名女性（56%）工人的体重指数（BMI）处于超重和肥胖范围，腰臀比（WHR）也相应偏高。高比例的男性（84%，95%置信区间81-87）有吸烟习惯。男性和女性的高血压（HTN）患病率分别为24%和15%；血脂异常患病率分别为56%和43%。糖尿病患病率为7.3%（5.3-9.4），糖尿病前期患病率为10.6%（8.2-13），且女性占优势（男性为4.5%，女性为10.3%）。在多变量逻辑回归分析中，高血压与年龄、性别、BMI显著相关；血糖状态与年龄、性别和腰臀比相关；血脂异常与BMI和腰臀比相关。相当一部分成衣厂工人患心血管疾病的风险增加，需要重点关注以减少吸烟（男性）以及体重和中心性肥胖，尤其是女性。
