Millar W J, Wigle D T
CMAJ. 1986 Jan 15;134(2):127-32.
Despite a general decline in mortality rates in recent decades, these rates are substantially higher among lower socioeconomic groups. To determine target groups for preventive health promotion programs, the prevalence of risk factors for cardiovascular disease by socioeconomic group in Canadian adults aged 20 to 69 years was examined through comparison of estimates from the 1978-79 Canada Health Survey, the 1981 Canada Fitness Survey and the labour force smoking surveys of 1975 and 1983. Level of education was used as a measure of socioeconomic status. The risk factors considered were cigarette smoking, overweight, obesity, elevated diastolic blood pressure, physical inactivity, excessive alcohol consumption, elevated serum cholesterol level, diabetes mellitus and the conjoint use of oral contraceptives and cigarettes. The prevalence of the risk factors tended to be higher among men and women with a low level of education. The results were consistent with those of recent Canadian studies showing that both men and women in lower socioeconomic groups are more likely to die from cardiovascular disease.
尽管近几十年来死亡率总体呈下降趋势，但在社会经济地位较低的群体中，死亡率要高得多。为了确定预防性健康促进项目的目标群体，通过比较1978 - 79年加拿大健康调查、1981年加拿大健身调查以及1975年和1983年劳动力吸烟调查的估计数据，研究了20至69岁加拿大成年人中按社会经济群体划分的心血管疾病风险因素的患病率。教育水平被用作社会经济地位的衡量指标。所考虑的风险因素包括吸烟、超重、肥胖、舒张压升高、缺乏身体活动、过度饮酒、血清胆固醇水平升高、糖尿病以及口服避孕药与香烟的联合使用。教育水平较低的男性和女性中，风险因素的患病率往往更高。研究结果与加拿大近期的研究一致，表明社会经济地位较低的男性和女性死于心血管疾病的可能性更大。
