在一项为期10年的队列研究中,冠状动脉疾病发生率,危险因素,意识和药物使用情况
Mohammadtaghi Sarebanhassanabadi1, Seyed Reza Mirjalili2, Pedro Marques-Vidal3
1Yazd Cardiovascular Research Center, Non-communicable Diseases Research Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. mtsareban@gmail.com.
冠状动脉疾病 (CAD) 是伊朗的一个重大健康问题,患病率高,风险因素普遍存在. 意识和控制这些因素,包括高血压和脂质失调,仍然很低,需要紧急的预防策略.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 冠状动脉疾病 (CAD) 在伊朗是一个巨大的负担,与具有强有力的风险因素评估和控制计划的国家不同.
- 了解CAD风险因素和人口意识对于有效的公共卫生干预至关重要.
研究的目的:
- 调查社区的伊朗人口中CAD和相关风险因素的发病率.
- 评估该人口中对主要CAD风险因素的认识和控制水平.
主要方法:
- 一组2000名年龄在20-74岁之间的伊朗人被跟踪了平均9.9年.
- 考克斯回归分析确定了CAD发育与诸如年龄,性别,吸烟,肥胖,失脂症,高血压和糖尿病等危险因素之间的关联.
- 为这些风险因素计算出了可归因于人口的分数.
主要成果:
- 在9.9年的时间里,发生了225次CAD事件 (14.5%的发病率).
- 年龄,男性性别,脂质不良,高血压和糖尿病是CAD的重要预测因素.
- 对高血压和失脂症的意识和药物坚持特别低 (分别为48.1%和13.2%).
结论:
- 与区域性研究相比,伊朗的CAD发病率更高,风险因素更普遍.
- 对于高血压和脂质失调等危险因素的认识和控制较低,突显出加强预防策略的必要性.
- 有效的公共卫生倡议对于减轻伊朗日益增长的CAD负担至关重要.
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