无家可归成年人心血管疾病的危险因素
Tony C Lee1, John G Hanlon, Jessica Ben-David
1Centre for Research on Inner City Health, St. Michael's Hospital, Toronto, Ontario, Canada.
Circulation
|May 18, 2005
概括
在多伦多,心血管风险因素管理不善.
科学领域:
- 公共卫生 公共卫生
- 心脏病学 心脏病学
- 社会医学 社会医学
背景情况:
- 无家可归者是北美的一个弱势群体.
- 心血管疾病 (CVD) 是老年无家可归男性死亡的主要原因.
- 这项研究调查了无家可归成年人的心血管风险因素,以改善管理策略.
研究的目的:
- 在一个无家可归的成年人代表样本中评估心血管风险因素.
- 确定增强心血管风险因子修改在这个人群中的机会.
主要方法:
- 一个随机抽样202个无家可归的成年人从多伦多的庇护所招募.
- 数据收集包括采访,物理测量和血液采样.
- 风险因素的患病率与一般人群的患病率使用标准化患病率比较.
主要成果:
- 与普通人群相比,无家可归者的吸烟率明显高 (78%).
- 高血压,高胆固醇和糖尿病是常见的,但控制不良.
- 29%的人报告使用可卡因,15%的人有现有的心血管疾病,药物坚持不佳.
结论:
- 在多伦多的无家可归成年人中,即使有全民医疗保健,心血管风险因素的管理也不足.
- 现有的风险评估工具可能低估了由于可卡因使用和重度吸烟等因素造成的实际风险.
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