Gamlath Lakshman, Nandasena Sumal, Hennadige Padmal de Silva Sudirikku, Linhart Christine, Ngo Anh, Morrell Stephen, Nathan Sally, Sharpe Albie, Taylor Richard
1 National Institute of Health Sciences, Kalutara, Sri Lanka.
2 School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia.
Asia Pac J Public Health. 2017 Jul;29(5):401-410. doi: 10.1177/1010539517709028. Epub 2017 May 18.
Since 1950, cardiovascular disease (CVD) has emerged as a leading cause of mortality in Sri Lanka, especially in men. In 2014, a survey in Kalutara to assess CVD and type 2 diabetes mellitus (T2DM) risk factors in adults aged 25 to 64 years (n = 1011), and associations with sex and socioeconomic status (SES), found similar CVD risk factors in both sexes, except for daily tobacco smoking at 19% in men and nil in women, and higher body mass index (BMI) in women than men. With increasing SES in men, there were significant linear increases in mean BMI, waist circumference, mean systolic and diastolic blood pressure, mean fasting plasma glucose, and T2DM prevalence, but decreases in tobacco smoking. Whereas in women higher SES was associated with a significant increase in mean BMI, but a significant decrease in hypertension prevalence. Tobacco smoking is the main risk factor explaining higher CVD mortality in men compared with women.
自1950年以来，心血管疾病（CVD）已成为斯里兰卡主要的死亡原因，在男性中尤为如此。2014年，在卡卢特勒进行了一项调查，以评估25至64岁成年人（n = 1011）的心血管疾病和2型糖尿病（T2DM）风险因素，以及与性别和社会经济地位（SES）的关联。结果发现，除男性每日吸烟率为19%而女性为零，以及女性的体重指数（BMI）高于男性外，男女的心血管疾病风险因素相似。随着男性社会经济地位的提高，平均BMI、腰围、平均收缩压和舒张压、平均空腹血糖以及2型糖尿病患病率均呈显著线性增加，但吸烟率下降。而在女性中，较高的社会经济地位与平均BMI显著增加相关，但高血压患病率显著下降。吸烟是解释男性心血管疾病死亡率高于女性的主要风险因素。
