2018 年法属圭亚那农民心血管风险评估——一项筛查计划。
Cardiovascular Risk Assessment among Farmers in French Guiana in 2018-A Screening Program.
机构信息
Centre Hospitalier de Cayenne, Cayenne 97300, French Guiana.
Mutualité Sociale Agricole de Guyane, Cayenne 97300, French Guiana.
出版信息
Int J Environ Res Public Health. 2023 Jan 10;20(2):1262. doi: 10.3390/ijerph20021262.
CONTEXT
There is a general health decline among farmers and the leading cause of death in this population remains cardiovascular (CV) diseases. The situation is similar in the Guianese general population, with a preoccupying increase in CV diseases. However, there are no data on farmers' health.
METHODS
A cross-sectional study analyzed data from the "Novembre Vert" action conducted in 2018 in French Guiana. Beneficiaries and farmers affiliated to the Mutualité Sociale Agricole who completed the survey were included. The objective was to assess their CV risk.
RESULTS
603 farmers were included. The sex-ratio was 1.6 and the median age was 52. Over 70% of the participants had a Body Mass Index ≥ 25, with a greater risk of obesity in the female population. High blood pressure (HBP) affected 53.1% of farmers and 80.1% were diagnosed during screening. About 13.5% had diabetes. Overall, 27% of participants were at high or very high CV risk. CV risk was 3 times greater in men.
CONCLUSION
HBP (53.1%), obesity (30.3%) and diabetes (13.5%) prevalence are particularly worrying and underline the importance of policies to reduce cardiovascular morbimortality among farmers.
背景
农民的整体健康水平正在下降，而这一人群的主要死因仍然是心血管疾病。在圭亚那的普通人群中，情况也类似，心血管疾病令人担忧地呈上升趋势。然而，关于农民健康的数据却很少。
方法
一项横断面研究分析了 2018 年在法属圭亚那开展的“Novembre Vert”行动的数据。该研究纳入了参加调查的受益人和农业互助协会的农民。目的是评估他们的心血管风险。
结果
共纳入 603 名农民。性别比为 1.6，中位年龄为 52 岁。超过 70%的参与者体重指数≥25，女性肥胖风险更高。高血压（HBP）影响了 53.1%的农民，其中 80.1%是在筛查时诊断出来的。约 13.5%的人患有糖尿病。总的来说，27%的参与者存在高或极高的心血管风险。男性的心血管风险是女性的 3 倍。
结论
HBP（53.1%）、肥胖（30.3%）和糖尿病（13.5%）的患病率令人尤为担忧，突显了制定政策以降低农民心血管发病率和死亡率的重要性。
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