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评估40岁及以上捷克人对生活方式选择与心血管疾病风险因素之间联系的认知。

Assessing the awareness of Czechs, age 40+, on the link between lifestyle choices and risk factors for cardiovascular diseases.

作者信息

Tóthová Valérie, Bártlová Sylva, Chloubová Ivana, Michálková Helena, Olišarová Věra, Prokešová Radka, Šedová Lenka, Treslova Marie, Adámkova Vera

机构信息

University of South Bohemia in České Budějovice, Faculty of Health and Social Sciences, Institute of Nursing, Midwifery and Emergency Care, České Budějovice, Czech Republic.

University of South Bohemia in České Budějovice, Faculty of Health and Social Sciences, Institute of Humanities in Nursing Professions, České Budějovice, Czech Republic.

出版信息

Neuro Endocrinol Lett. 2018 Dec;39(5):401-408.

Abstract

OBJECTIVES

Cardiovascular diseases constitute the main cause of disability and premature death worldwide. Those diseases will continue to endanger health unless the public understands clearly and completely which risk factors contribute to the development of these diseases and what they can do to avoid these risks. This article assesses the understanding of risk factors that can lead to the development of heart and vessel diseases.

METHODS

A non-standardized questionnaire was used for data collection. The respondents expressed their opinions on influenceable factors using a five-degree Likert scale. The research set included 1,992 respondents. Data were statistically analyzed using the SASD program, version 1.4.12. To calculate the level of dependence of the selected characteristics, the Wallis, and Spearman correlation coefficients were calculated. The goodness-of-fit χ2 was applied as well.

RESULTS

The results show that 66.8% of respondents go walking for at least 30 minutes on 5 or more days per week. Respondents from lower age groups reported significantly more (p < 0.001) walking. The comparison of mean values showed that Czech citizens aged 40 or more years express the highest agreement with the statement that they could prevent heart and vessel diseases by modifying their eating habits. The results further showed that 25.8% of Czech citizens smoked and that men smoked significantly more (29.6%) than women (22.5%). More than one-half (60.1%) reported drinking alcohol occasionally; the remaining respondents reported drinking alcohol 3-4 times a month or more often. Men reported drinking beer significantly more often (p < 0.001) than women, while women reported drinking wine significantly more often (p < 0.001) than men.

CONCLUSIONS

Respondents aged 40 or more years were aware of some, but not all, of the risk factors that can influence the development of cardiovascular diseases. They accepted that they could prevent heart and vessel diseases by modifying their eating habits, however, their opinions regarding exercise differed from professional recommendations. Two-thirds of the respondents stated that smoking could also influence heart and vessel diseases. The study suggests that primary care providers need to put more effort into educating their patients regarding steps that can be to influence their own health.

摘要

目的

心血管疾病是全球致残和过早死亡的主要原因。除非公众清楚并全面地了解哪些风险因素会导致这些疾病的发生以及他们可以采取什么措施来避免这些风险,否则这些疾病将继续危害健康。本文评估了对可能导致心脏和血管疾病发生的风险因素的理解。

方法

使用非标准化问卷收集数据。受访者使用五级李克特量表对可影响因素表达意见。研究对象包括1992名受访者。使用SASD程序1.4.12版对数据进行统计分析。为计算所选特征的依赖程度,计算了沃利斯和斯皮尔曼相关系数。还应用了拟合优度χ2。

结果

结果显示,66.8%的受访者每周有5天或更多天会步行至少30分钟。年龄较小的受访者报告的步行次数明显更多(p<0.001)。平均值比较显示,40岁及以上的捷克公民最认同通过改变饮食习惯可以预防心脏和血管疾病这一说法。结果还显示,25.8%的捷克公民吸烟,男性吸烟率(29.6%)明显高于女性(22.5%)。超过一半(60.1%)的人报告偶尔饮酒;其余受访者报告每月饮酒3 - 4次或更频繁。男性报告喝啤酒的频率明显高于女性(p<0.001),而女性报告喝葡萄酒的频率明显高于男性(p<0.001)。

结论

40岁及以上的受访者意识到了一些但并非所有可能影响心血管疾病发生的风险因素。他们认同通过改变饮食习惯可以预防心脏和血管疾病,然而,他们对于运动的看法与专业建议不同。三分之二的受访者表示吸烟也会影响心脏和血管疾病。该研究表明,初级保健提供者需要更加努力地教育患者采取可以影响自身健康的措施。

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