School of Nursing, University of Nevada, Las Vegas, Las Vegas, Nevada, United States of America.
School of Public Health, University of Nevada, Las Vegas, Las Vegas, Nevada, United States of America.
PLoS One. 2021 Feb 17;16(2):e0247105. doi: 10.1371/journal.pone.0247105. eCollection 2021.
Cardiovascular disease (CVD) remains the number one cause of death in the US and Nevada is ranked 11th highest for CVD mortality. The study sought to examine the association between self-reported risk factors and CVD presence among adult Nevadans, between years 2011 and 2017.
This is a cross-sectional, population-based study that utilized the 2011 and 2017 Nevada Behavioral Risk Factor Surveillance System data. Data were analyzed between 2019 and 2020.
A total of 5,493 and 3,764 subjects in 2011 and 2017, respectively were included. BMI (overweight/obesity) remained the most prevalent CVD risk factor. The second most common CVD risk factor was high cholesterol, followed by hypertension. Compared to females, males were 1.64 times more likely to have reported CVD in 2011, which increased to 1.92 in 2017. Compared to non-smokers, everyday smokers were 1.96 times more likely in 2011 and 3.62 times more likely in 2017. Individuals with high cholesterol status were 2.67 times more likely to have reported CVD compared to those with normal levels in 2011. In 2011, individuals with hypertension were 3.74 times more likely to have reported CVD compared to those who did not have hypertension. This relationship increased its magnitude of risk to 6.18 times more likely in 2017. In 2011, individuals with diabetes were 2.90 times more likely to have reported CVD compared to those without the condition.
Public health and healthcare providers need to target preventable cardiovascular risk factors and develop recommendations and strategies locally, nationally, and globally.
心血管疾病(CVD)仍然是美国的头号死因,内华达州的 CVD 死亡率排名第 11 位。本研究旨在检查 2011 年至 2017 年内华达州成年人自我报告的风险因素与 CVD 之间的关联。
这是一项横断面、基于人群的研究,利用了 2011 年和 2017 年内华达州行为风险因素监测系统的数据。数据分析于 2019 年至 2020 年进行。
2011 年和 2017 年分别纳入了 5493 名和 3764 名受试者。BMI(超重/肥胖)仍然是最常见的 CVD 风险因素。第二常见的 CVD 风险因素是高胆固醇,其次是高血压。与女性相比,男性在 2011 年报告 CVD 的可能性高 1.64 倍,在 2017 年增加到 1.92 倍。与不吸烟者相比,每天吸烟的人在 2011 年的可能性高 1.96 倍,在 2017 年的可能性高 3.62 倍。2011 年,高胆固醇血症患者报告 CVD 的可能性是胆固醇水平正常者的 2.67 倍。2011 年,高血压患者报告 CVD 的可能性是无高血压患者的 3.74 倍。这一关系的风险程度在 2017 年增加到 6.18 倍。2011 年,患有糖尿病的人报告 CVD 的可能性是没有这种情况的人的 2.90 倍。
公共卫生和医疗保健提供者需要针对可预防的心血管风险因素,并在地方、国家和全球范围内制定建议和策略。