Muscat J E, Axelrad C, Ray K, Weston R, Landers C, Vaccaro D, Orlandi M A, Haley N J
American Health Foundation, New York, NY 10017.
Public Health Rep. 1994 Jan-Feb;109(1):93-8.
The prevalence and interrelationship of high blood cholesterol levels with other cardiovascular disease risk factors were studied in a biracial suburb of New York City. Participants in community-based screenings to determine blood cholesterol levels have been predominantly white women in older age groups, highly educated and nonsmokers. To reach a more representative segment of a local population and promote healthy lifestyle behaviors, cholesterol screenings were conducted within an ongoing health promotion program in Mount Vernon, NY. Plasma cholesterol levels were determined for 5,011 participants, including 2,308 whites and 1,778 blacks. Of the men, 29 percent had high cholesterol levels; among women, it was 27 percent. Of the men with high levels, half had levels greater than 200 milligrams per deciliter, as did 55 percent of the women. After statistical adjustments were made for age and other risk factors for high blood cholesterol, mean cholesterol levels were higher for whites than blacks. The level for white men was 204 milligrams per deciliter; for women, 212. For black men, the level was 199 milligrams per deciliter; for women, 208, P < .10. Hispanic men had levels of 199, P < .10. The levels for Hispanic women (203 milligrams per deciliter) were significantly lower than that of white women. Among whites who smoked more than 1 pack of cigarettes per day, mean cholesterol levels were 11 milligrams per deciliter higher than for those who never smoked or were light smokers (0, 1-20 cigarettes per day, P < .10). There were too few who smoked more than 1 pack to test this association adequately among blacks. The mean cholesterol levels for hypertensive black men were 10 milligrams per deciliter greater than for black men with normal blood pressure (P<.10).
在纽约市一个有着两种族的郊区，对高血胆固醇水平与其他心血管疾病风险因素的患病率及其相互关系进行了研究。在基于社区的血胆固醇水平筛查中，参与者主要是年龄较大的白人女性，她们受过良好教育且不吸烟。为了涵盖当地更具代表性的人群并推广健康的生活方式行为，在纽约州芒特弗农一项正在进行的健康促进项目中开展了胆固醇筛查。对5011名参与者测定了血浆胆固醇水平，其中包括2308名白人以及1778名黑人。男性中，29%有高胆固醇水平；女性中这一比例为27%。高胆固醇水平的男性中，一半的人胆固醇水平高于每分升200毫克，女性中这一比例为55%。在对年龄及其他高血胆固醇风险因素进行统计调整后，白人的平均胆固醇水平高于黑人。白人男性的水平为每分升204毫克；女性为212毫克。黑人男性的水平为每分升199毫克；女性为208毫克，P<0.10。西班牙裔男性的水平为199毫克，P<0.10。西班牙裔女性的水平（每分升203毫克）显著低于白人女性。在每天吸烟超过1包的白人中，平均胆固醇水平比从不吸烟或轻度吸烟者（每天0支、1 - 20支）高每分升11毫克（P<0.10）。吸烟超过1包的黑人数量太少，无法充分检验这一关联。高血压黑人男性的平均胆固醇水平比血压正常的黑人男性高每分升10毫克（P<0.10）。
