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监测意大利成年人群中心血管疾病及相关风险因素,以便更好地制定预防策略。

Monitoring cardiovascular diseases and associated risk factors in the adult population to better orient prevention strategies in Italy.

机构信息

Dipartimento di Sanità Pubblica, Unità Operativa Igiene e Sanità Pubblica, Ravenna, Ausl Romagna, Ravenna, Italy.

Centro Nazionale per la Prevenzione delle Malattie e la Promozione della Salute, Istituto Superiore di Sanità, Rome, Italy.

出版信息

Ann Ist Super Sanita. 2022 Apr-Jun;58(2):109-117. doi: 10.4415/ANN_22_02_06.

Abstract

INTRODUCTION

Cardiovascular disease (CVD) is the first cause of death in Europe and over the world. This study analyses health-related behaviours in adults referring doctor-diagnosed CVDs.

MATERIALS AND METHODS

We used data from the Italian cross-sectional Behavioural Risk Factor Surveillance System PASSI gathered in 2015-2018. Complex survey design analyses included the Taylor series method for variance estimation and Poisson regression for associations between socio-demographic characteristics and CVD.

RESULTS

Among 132,598 respondents, the prevalence of doctor-diagnosed CVD was 5%. Higher percentages are observed among: men, older individuals, socioeconomically disadvantaged people. Compared to the general population, people with CVD have greater risk and aggravating factors, and a worse health status overall. All protective behaviors and lifestyles shall be improved.

DISCUSSION AND CONCLUSIONS

In Italy, adults with CVD are more likely to be exposed to aggravating modifiable risk factors: it represents a valuable information for increased preventive interventions, even more in the light of the COVID-19 pandemic scenario.

摘要

引言

心血管疾病(CVD)是欧洲乃至全球的首要死因。本研究分析了患有医生诊断的 CVD 的成年人的与健康相关的行为。

材料与方法

我们使用了 2015-2018 年意大利横断面行为危险因素监测系统 PASSI 的数据。复杂的调查设计分析包括泰勒级数法进行方差估计和泊松回归进行社会人口特征与 CVD 之间的关联分析。

结果

在 132598 名受访者中,医生诊断的 CVD 患病率为 5%。男性、老年人、社会经济地位较低的人群中,这一比例更高。与一般人群相比,患有 CVD 的人面临更大的风险和加重因素,整体健康状况更差。所有的保护性行为和生活方式都应得到改善。

讨论与结论

在意大利,患有 CVD 的成年人更有可能接触到加重的可改变的风险因素:这代表了增加预防干预的有价值的信息,特别是在 COVID-19 大流行的背景下。

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