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俄罗斯成年人对高血压、高胆固醇血症和糖尿病的知晓情况及相关特征

Awareness of Hypertension, Hypercholesterolemia, and Diabetes Mellitus and Associated Characteristics in Russian Adults.

作者信息

Sahatqija Filip, Hunsberger Monica, Cook Sarah, Kholmatova Kamila, Shapkina Marina, Malyutina Sofia, Kudryavtsev Alexander V

机构信息

Shalgrenska Academy, University of Gothenburg, Gothenburg 41390, Sweden.

School of Public Health, Faculty of Medicine, Imperial College London, London SW7 2AZ, UK.

出版信息

Int J Hypertens. 2024 Mar 25;2024:8542671. doi: 10.1155/2024/8542671. eCollection 2024.

Abstract

Russia has higher cardiovascular disease (CVD) mortality compared to other European countries. The major CVD risk factors are age, male sex, and three conditions, namely hypertension, hypercholesterolemia, and diabetes mellitus (DM). This study aimed to assess awareness of these three conditions among Russian adults ( = 3803) and the associated socio-demographic, lifestyle, and health characteristics. We used cross-sectional data from a randomly drawn population-based sample of Russians aged 35-69 years, who participated in the Know Your Heart (KYH) study conducted in Arkhangelsk and Novosibirsk between 2015-2018. Participants' self-reported awareness of hypertension, hypercholesterolemia, and DM was assessed against the measures at the KYH health check (blood pressure, cholesterol, HbA1c and/or use of medication for each condition). Prevalence estimates for the awareness were age- and sex-standardized to the Standard European Population. Socio-demographic, lifestyle, and health-related correlates of the awareness were investigated using logistic regression modelling. Among participants with hypertension ( = 2206), hypercholesterolemia ( = 3171), and DM ( = 329) recorded at a health check, 79%, 45%, and 61% self-reported these conditions, respectively. Higher awareness of hypercholesterolemia and hypertension was associated with older age, female sex, nonsmoking status, obesity, and history of CVD diagnoses. Low household income and history of CVD diagnoses were associated with being aware of DM. The awareness rates of hypertension were relatively high, whereas awareness rates of hypercholesterolemia and DM were relatively low. CVD prevention and early intervention could be improved in Russia through increasing the awareness of the risk factors.

摘要

与其他欧洲国家相比,俄罗斯的心血管疾病(CVD)死亡率更高。主要的心血管疾病风险因素包括年龄、男性性别以及三种病症,即高血压、高胆固醇血症和糖尿病(DM)。本研究旨在评估俄罗斯成年人(n = 3803)对这三种病症的知晓情况以及相关的社会人口统计学、生活方式和健康特征。我们使用了基于人群的随机抽样数据,样本为年龄在35 - 69岁之间的俄罗斯人,他们参与了2015 - 2018年在阿尔汉格尔斯克和新西伯利亚进行的“了解你的心脏”(KYH)研究。根据KYH健康检查中的各项指标(血压、胆固醇、糖化血红蛋白和/或每种病症的用药情况)评估参与者自我报告的高血压、高胆固醇血症和糖尿病知晓情况。知晓率的患病率估计值按年龄和性别标准化为标准欧洲人口。使用逻辑回归模型研究知晓情况的社会人口统计学、生活方式和健康相关关联因素。在健康检查中记录患有高血压(n = 2206)、高胆固醇血症(n = 3171)和糖尿病(n = 329)的参与者中,分别有79%、45%和61%自我报告了这些病症。高胆固醇血症和高血压的知晓率较高与年龄较大、女性性别、不吸烟状态、肥胖以及心血管疾病诊断史有关。家庭收入低和心血管疾病诊断史与知晓糖尿病有关。高血压的知晓率相对较高,而高胆固醇血症和糖尿病的知晓率相对较低。通过提高对风险因素的知晓率,俄罗斯的心血管疾病预防和早期干预可以得到改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5f6/10985646/3f5c29e8a785/IJHY2024-8542671.001.jpg

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