艾伯塔省心脏健康调查：方法与结果

The Alberta Heart Health Survey: methods and results.

作者信息

Joffres M R, Titanich K L, Hessel P A

机构信息

Alberta Health, Edmonton.

出版信息

Can J Cardiol. 1993 May;9(4):300-8.

PMID:8513423

Abstract

OBJECTIVE

The Alberta Heart Health Survey is a population-based investigation of cardiovascular disease (CVD) risk factor prevalence and awareness among Albertans 18 to 74 years of age.

DESIGN

A stratified, two-stage, replicated probability sample design developed by Statistics Canada was used to select 3437 individuals (2740 were located) from the Alberta Health Care Insurance Plan enrollment list. Trained community health nurses (n = 36) from 13 public health units conducted home interviews (n = 2237, response rate 82%) and subsequent clinic visits (n = 1993) from February to June 1990, using a core protocol common to similar studies conducted in other provinces, as part of the Canadian Heart Health Initiative.

SETTING

The home interview collected data on individual and household demographic characteristics, smoking, alcohol consumption, physical activity, treatment and control of high blood pressure and high blood cholesterol, and family history of CVD. Clinic visits included blood collection for analysis of total plasma cholesterol, low density lipoprotein (LDL) cholesterol, high density lipoprotein (HDL) cholesterol, triglycerides; weight, height, waist and hip circumference, and two blood pressure measurements. Standardized protocols were used. Lipid analyses were conducted by the Lipid Research Laboratory, University of Toronto. Data management and analysis were conducted at the University of Alberta.

MAIN RESULTS

The overall risk factor prevalence estimates were: high blood pressure 14%; smoking 27%; total cholesterol of at least 5.2 mmol/L, 36%; HDL cholesterol less than 0.9 mmol/L, 10%; LDL cholesterol of at least 3.4 mmol/L, 29%; body mass index 25 or more, 51%; sedentary lifestyle 37%. One or more of the three major risk factors (smoking, high blood pressure, high blood cholesterol) occurred in 57% (70% in those with 12 years of education or less).

CONCLUSIONS

While the prevalence rates for the major risk factors are among the lowest in Canada, they are unacceptably high.

摘要

目的

艾伯塔心脏健康调查是一项针对18至74岁艾伯塔省居民心血管疾病（CVD）危险因素患病率及知晓情况的基于人群的调查。

设计

采用加拿大统计局制定的分层、两阶段、重复概率抽样设计，从艾伯塔省医疗保险计划登记名单中选取3437人（找到2740人）。1990年2月至6月，来自13个公共卫生单位的36名经过培训的社区健康护士进行了家访（2237人，应答率82%）以及随后的门诊就诊（1993人），采用了其他省份类似研究通用的核心方案，作为加拿大心脏健康倡议的一部分。

背景

家访收集了个人和家庭人口统计学特征、吸烟、饮酒、身体活动、高血压和高血胆固醇的治疗与控制情况以及心血管疾病家族史等数据。门诊就诊包括采集血液以分析总血浆胆固醇、低密度脂蛋白（LDL）胆固醇、高密度脂蛋白（HDL）胆固醇、甘油三酯；测量体重、身高、腰围和臀围以及两次血压。使用标准化方案。脂质分析由多伦多大学脂质研究实验室进行。数据管理和分析在阿尔伯塔大学进行。

主要结果

总体危险因素患病率估计为：高血压14%；吸烟27%；总胆固醇至少5.2 mmol/L，36%；高密度脂蛋白胆固醇低于0.9 mmol/L，10%；低密度脂蛋白胆固醇至少3.4 mmol/L，29%；体重指数25或更高，51%；久坐不动的生活方式37%。三种主要危险因素（吸烟、高血压、高血胆固醇）中至少有一种出现的比例为57%（受教育年限12年及以下者中为70%）。