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[2000 - 2010年老年人心血管疾病患病率及相关因素分析]

[Analysis of the prevalence of cardiovascular diseases and associated factors among the elderly, 2000-2010].

作者信息

Massa Kaio Henrique Correa, Duarte Yeda Aparecida Oliveira, Chiavegatto Filho Alexandre Dias Porto

机构信息

Programa de Pós-Graduação em Saúde Pública, Faculdade de Saúde Pública (FSP), Universidade de São Paulo (USP). Av. Dr. Arnaldo 715, Cerqueira César. 05405-000 São Paulo SP Brasil.

Escola de Enfermagem, USP. São Paulo SP Brasil.

出版信息

Cien Saude Colet. 2019 Jan;24(1):105-114. doi: 10.1590/1413-81232018241.02072017.

Abstract

The scope of this study was to analyze the difference in the prevalence of cardiovascular disease (CVD) between 2000 and 2010 and its association with socio-economic and risk factors among the elderly. Bayesian multilevel models were applied to analyze the difference in the prevalence of CVD, and the association between individual characteristics and the presence of CVD was analyzed by logistic regression models with complex samples separately for 2000, 2006 and 2010. This research is part of the Health, Welfare and Aging (SABE) study, performed in Sao Paulo, Brazil, and used the samples collected in 2000, 2006 and 2010. An increase in the prevalence of cardiovascular disease among the elderly was observed during the period, from 17.9% in 2000, to 22.2% in 2006, attaining 22.9% in 2010. In reference to the prevalence observed in 2000, the multilevel analysis indicated a significant increase in the presence of cardiovascular disease in 2006 (OR = 3.20 95%CI = 1.93-5.31) and 2010 (OR = 2.98 95%CI = 1.51-5.89), even after statistical adjustment for individual factors. The presence of CVD was associated with older age, smoking history, the presence of diabetes and hypertension, and an inverse association was observed between the presence of CVD and alcohol intake.

摘要

本研究的范围是分析2000年至2010年期间老年人心血管疾病(CVD)患病率的差异及其与社会经济和风险因素的关联。应用贝叶斯多层次模型分析CVD患病率的差异,并分别针对2000年、2006年和2010年,通过复杂样本的逻辑回归模型分析个体特征与CVD存在之间的关联。本研究是在巴西圣保罗进行的健康、福利与老龄化(SABE)研究的一部分,并使用了2000年、2006年和2010年收集的样本。在此期间,观察到老年人心血管疾病患病率有所上升,从2000年的17.9%升至2006年的22.2%,2010年达到22.9%。参照2000年观察到的患病率,多层次分析表明,即使在对个体因素进行统计调整后,2006年(OR = 3.20,95%CI = 1.93 - 5.31)和2010年(OR = 2.98,95%CI = 1.51 - 5.89)心血管疾病的存在仍显著增加。CVD的存在与年龄较大、吸烟史、糖尿病和高血压的存在相关,并且观察到CVD的存在与酒精摄入之间存在负相关。

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