Kaufman J S, Tracy J A, Durazo-Arvizu R A, Cooper R S
Department of Preventive Medicine and Epidemiology, Loyola University Stritch School of Medicine, Maywood, IL 60153, USA.
Ann Epidemiol. 1997 Jan;7(1):22-7.
Lifestyle Incongruity has been shown to be associated with elevated blood pressure in various developing societies. We sought to test this model in an international collaborative study of hypertension in populations of African origin. Data were available for 4770 men and women, aged 25-74, from Africa, the Caribbean, and the United States. The main effects of lifestyle score (LSS) and education on hypertension prevalence were explored, as well as interactions predicted by the Lifestyle Incongruity model. Significant interactions were observed, but only the U.S. men conformed to the pattern predicted. For this group, adjusted ORs for LSS were 4.45 among low-education and 0.71 among high-education subgroups (risk OR = 0.16, 0.03-0.84 95% CI). The Lifestyle Incongruity model therefore received limited support. The model was designed to describe processes in societies experiencing modernization and opportunities for lifestyle differentiation, conditions that may not have been met in some sites.
在各个发展中社会，生活方式不协调已被证明与血压升高有关。我们试图在一项针对非洲裔人群高血压的国际合作研究中验证这一模型。研究数据来自非洲、加勒比地区和美国的4770名年龄在25至74岁之间的男性和女性。我们探讨了生活方式评分（LSS）和教育程度对高血压患病率的主要影响，以及生活方式不协调模型所预测的相互作用。我们观察到了显著的相互作用，但只有美国男性符合所预测的模式。对于这一组人群，低教育亚组中LSS的调整后比值比为4.45，高教育亚组中为0.71（风险比值比=0.16，95%置信区间为0.03-0.84）。因此，生活方式不协调模型得到的支持有限。该模型旨在描述经历现代化和生活方式差异化机会的社会中的过程，而某些研究地点可能并不具备这些条件。
