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心血管疾病的风险因素——瑞典人与移民的比较

Risk factors for cardiovascular disease--a comparison between Swedes and immigrants.

作者信息

Tomson Y, Aberg H

机构信息

Department of Clinical Neuroscience and Family Medicine, Karolinska Institutet, Stockholm, Sweden.

出版信息

Scand J Prim Health Care. 1994 Sep;12(3):147-54. doi: 10.3109/02813439409003691.

DOI:10.3109/02813439409003691
PMID:7997691
Abstract

OBJECTIVE

To explore and compare risk factors for cardiovascular disease in Swedes and immigrants.

DESIGN

Descriptive analysis of data obtained by personal interview, laboratory investigations, and clinical examination by a trained nurse.

SETTING

Vårby Health Centre, located in a suburb of Stockholm. The health centre has 32 percent immigrants in its catchment area.

SUBJECTS

2238 participants aged 25-54 years who attended for a health check in 1989-90.

MAIN OUTCOME MEASURES

Ethnicity, age, sex, smoking habits, body mass index(BMI), serum-cholesterol, blood glucose, and blood pressure.

RESULTS

30 different nationalities participated and were classified as Swedish, Finnish, Mediterranean and "Other". Mediterraneans had a higher BMI in spite of the fact that their blood pressures were significantly lower. The Finns had the highest mean cholesterol values. Smoking rates among Mediterranean men were high (58%). 40% of the Swedish men smoked. Only 14% of the Mediterranean women aged 45-54 years smoked. The smoking rates increased in age groups 35-44 years (29%) and 25-34 years (46%).

CONCLUSIONS

We found important ethnic differences in risk factor patterns. On the basis of our findings, Finnish immigrants should fare the worst. Special efforts should be directed at Finns, focusing on diagnosis and treatment of hypertension and hypercholesterolemia, and at Mediterraneans on overweight and smoking.

摘要

目的

探究并比较瑞典人和移民患心血管疾病的风险因素。

设计

对通过个人访谈、实验室检查以及由训练有素的护士进行临床检查所获得的数据进行描述性分析。

地点

位于斯德哥尔摩郊区的瓦尔比健康中心。该健康中心的服务区域内有32%的移民。

研究对象

1989年至1990年期间前来进行健康检查的2238名年龄在25至54岁之间的参与者。

主要观察指标

种族、年龄、性别、吸烟习惯、体重指数(BMI)、血清胆固醇、血糖和血压。

结果

30个不同国籍的人参与了研究,并被分为瑞典人、芬兰人、地中海地区的人和“其他”。尽管地中海地区的人的血压明显较低,但他们的体重指数较高。芬兰人的平均胆固醇值最高。地中海地区男性的吸烟率很高(58%)。40%的瑞典男性吸烟。45至54岁的地中海地区女性中只有14%吸烟。35至44岁年龄组(29%)和25至34岁年龄组(46%)的吸烟率有所上升。

结论

我们发现风险因素模式存在重要的种族差异。根据我们的研究结果,芬兰移民的情况可能最差。应特别关注芬兰人,重点是高血压和高胆固醇血症的诊断和治疗,以及关注地中海地区的人超重和吸烟问题。

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