Sandvig A, Hewitt S, Wøien G, Graff-Iversen S, Lien L
Statens helseundersøkeiser, Oslo.
Tidsskr Nor Laegeforen. 1997 Jun 20;117(16):2325-8.
We present the results from three surveys conducted in 1988, 1991 and 1994 in Hedmark comparing risk factors for cardiovascular disease among men and women age 40-42 years. The data are compared with the results for persons in the same age group from the counties Vestfold, Rogaland and Nordland, and examined in the same periods. In 1991 the average levels of total cholesterol and infarction risk score were the same in Hedmark and the three other counties, but in 1994 Hedmark compared less favourably. While the mean levels of total cholesterol showed minimal difference between rural and urban municipalities in Hedmark, triglycerides and systolic blood pressure were higher in the rural areas. Adjustment of the results in Hedmark for lower attendance rate among unmarried, divorced and widowed persons in 1991 and 1994 than in 1988 does not affect other risk factors than smoking. We discuss possible explanations of the less favourable results and the implications for primary prevention of cardiovascular diseases.
我们展示了1988年、1991年和1994年在海德马克郡进行的三项调查结果，这些调查比较了40至42岁男性和女性心血管疾病的风险因素。将这些数据与同期来自韦斯特福尔郡、罗加兰郡和诺德兰郡同一年龄组人群的结果进行了比较。1991年，海德马克郡与其他三个郡的总胆固醇平均水平和梗死风险评分相同，但在1994年，海德马克郡的情况就没那么好了。虽然海德马克郡农村和城市自治市的总胆固醇平均水平差异极小，但农村地区的甘油三酯和收缩压更高。对海德马克郡1991年和1994年未婚、离异和丧偶者出勤率低于1988年的情况进行结果调整后，除吸烟外不影响其他风险因素。我们讨论了结果不太理想的可能原因以及对心血管疾病一级预防的影响。
