[特莱姆森省（阿尔及利亚）城乡社区心血管危险因素的患病率：一项比较研究]

[Prevalence of cardiovascular risk factors in urban and rural communities in the Wilaya of Tlemcen (Algeria): A comparative study].

作者信息

Boukli Hacène L, Khelil M-A, Chabane Sari D, Meguenni K, Meziane Tani A

机构信息

Faculté des sciences de la nature et de la vie et sciences de la terre, université Abou-Bekr-Belkaid, nouveau pôle la rocade 2 imama, mansourah, Tlemcen, Algérie.

出版信息

Rev Epidemiol Sante Publique. 2017 Aug;65(4):277-284. doi: 10.1016/j.respe.2017.01.121. Epub 2017 Apr 11.

DOI:10.1016/j.respe.2017.01.121

PMID:28410864

Abstract

BACKGROUND

In Algeria, few studies have been conducted to determine the prevalence of genetic and environmental risk factors of cardiovascular diseases as a function of residence. The objective of this study was therefore to determine the prevalence of cardiovascular risk factors according to sex and age in urban and rural communities in the Wilaya of Tlemcen (Algeria).

MATERIAL AND METHODS

A population survey was conducted on a representative sample of 864 individuals aged 20years and over, among inhabitants in urban and rural communes in the Wilaya of Tlemcen. Each subject answered the questionnaire on cardiovascular risk factors, underwent a physical examination and had a blood sample drawn.

RESULTS

The prevalence of hypercholesterolemia was 6.6%, it was found to be higher in urban areas (8.4%) than in rural areas (4.6%). The prevalence of low HDL cholesterol levels was higher in urban (28.8%) than rural (23.9%) areas. The prevalence of family history of cardiovascular disease did not differ between the two sexes and between urban (15.7%) and rural (14.0%) areas. The prevalence of hypertension was higher in urban (28.0%) than in rural (16.8%) areas, and was highest among women aged 65 years or older in urban areas (67.3%) and in rural areas (66.6%). The prevalence of diabetes was higher among women living in urban areas (21.4%) compared with rural areas (15.4%). Obesity was much more frequent among women than among men in urban areas (24.7% in women and 9.5% in men) and in rural areas (28.3% in women and 8.3% in men). The prevalence of smoking was 45.8% for men and with no significant variations between urban areas and rural areas.

CONCLUSION

The prevalence of cardiovascular risk factors according to sex and age in the two communes are high in two communes in the Wilaya of Tlemcen. However, the prevalence of hypertension, hypercholesterolemia and diabetes were higher in women in urban than in rural areas. This finding focuses attention on the need for measures to reduce the prevalence of these cardiovascular risk factors in these communities. Factors such as sex age and area of residence are indicators to consider when targeting interventions.

摘要

背景

在阿尔及利亚，针对心血管疾病的遗传和环境风险因素患病率按居住情况展开的研究较少。因此，本研究的目的是确定阿尔及利亚特莱姆森省城乡社区中心血管疾病风险因素按性别和年龄划分的患病率。

材料与方法

对特莱姆森省城乡社区中864名20岁及以上居民的代表性样本进行了一项人口调查。每位受试者都回答了关于心血管疾病风险因素的问卷，接受了体格检查并抽取了血样。

结果

高胆固醇血症的患病率为6.6%，发现城市地区（8.4%）高于农村地区（4.6%）。城市地区（28.8%）低高密度脂蛋白胆固醇水平的患病率高于农村地区（23.9%）。心血管疾病家族史的患病率在两性之间以及城市（15.7%）和农村（14.0%）地区之间没有差异。高血压的患病率城市地区（28.0%）高于农村地区（16.8%），且在城市地区65岁及以上女性中最高（67.3%），农村地区为（66.6%）。城市地区女性（21.4%）的糖尿病患病率高于农村地区（15.4%）。肥胖在城市地区女性中比男性更常见（女性为24.7%，男性为9.5%），农村地区也是如此（女性为28.3%，男性为8.3%）。男性吸烟率为45.8%，城市地区和农村地区之间无显著差异。