农村干预中的心血管疾病行为风险因素:横截面研究
Adewale Samuel Akinosun1, Sylvia Kamya2, Jonathan Watt2
1Digital Health, Institute of Health Research and Innovation, University of the Highlands and Islands, Inverness, UK. adewalesamuel.akinosun@nhs.scot.
Scientific reports
|August 17, 2023
概括
这项研究确定了高体重指数 (BMI) 作为苏格兰高地患者的关键心血管疾病 (CVD) 风险因素群. 针对BMI干预措施可以提高农村人口的效率.
科学领域:
- 公共卫生 公共卫生
- 心血管疾病流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 心血管疾病 (CVD) 造成了严重的健康负担,特别是在农村人口中.
- 了解行为风险因素的流行和聚类对于有效的干预策略至关重要.
- 之前的研究已经强调了需要有针对性的方法来管理心血管疾病风险因素.
研究的目的:
- 评估苏格兰农村人口中心血管疾病行为风险因素的分布和患病率.
- 确定适用于行为修改干预的特定风险因素.
- 开发风险因素聚类的分析模型,以提高干预目标.
主要方法:
- 使用STROBE方法的横截面研究,其中包括2025名在NHS高地接受皮肤冠状动脉干预 (PCI) 的患者的数据.
- 2016年1月至2019年12月期间收集的人口统计和临床数据.
- 统计分析包括患病率,关联分析和后勤建模来定义风险因素集群.
主要成果:
- 体重指数 (BMI) 升高是最常见的危险因素 (77.5%),经常与高脂血症或高血压相结合.
- 大约40%的患者有多种风险因素.
- 较高的BMI与社会经济因素有关,而不是农村地区.
结论:
- 在这个农村人口中,高BMI代表了心血管疾病的显著,集群风险因素.
- 将干预措施针对已识别的风险因素集群,特别是BMI升高,可以提高效率.
- 调查结果支持在类似环境中定制公共卫生干预的战略.
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