使用QRISK3计算器估计卢克诺贫民窟居民的心血管疾病风险估计
Deepshikha Pandey1, Shivendra K Singh1, Manish K Manar1
1Department of Community Medicine and Public Health, KGMU, Uttar Pradesh, India.
Journal of education and health promotion
|May 22, 2025
概括
卢克诺贫民窟的心血管疾病 (CVD) 风险较低,但吸烟和肥胖等危险因素很常见. 针对可修改因素的宣传活动对于预防至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心脏病学 心脏病学
背景情况:
- 心血管疾病 (CVD) 是印度的主要死亡原因.
- 生活方式因素对心血管疾病的发展和进展有很大影响.
- 城市贫民窟居民因社会经济因素和有限的服务机会而面临不成比例地更高的心血管疾病风险.
研究的目的:
- 在城市贫民窟人口中估计心血管事件 (心肌梗塞/中风) 的10年风险.
- 为了确定在这个脆弱的人群中普遍存在的CVD风险因素.
主要方法:
- 一项以社区为基础的,涉及300名参与者在拉克贫民窟的横截面研究.
- 使用世卫组织30/7集群采样技术进行贫民窟选择.
- 使用QRISK3计算器来评估10年心血管疾病风险和Chi-square/Fisher精确测试进行数据分析.
主要成果:
- 71%的受访者有低 (<10%),20%中度 (10-<20%),9%高 (≥20%) 的10年心血管疾病风险.
- 高风险与年龄 (51-60岁),男性性别,吸烟,肥胖和高血压 (P <0.01) 有关.
- 2型糖尿病 (P < 0.01),家族史上有心肌梗塞/心肌痛 (P = 0.02),以及使用抗高血压药物 (P < 0.01) 也与高心血管疾病风险有关.
结论:
- 虽然整体10年心血管疾病事件的风险似乎很低,但相关的风险因素在拉克诺的贫民窟地区普遍存在.
- 可修改的风险因素包括吸烟,肥胖,高血压和2型糖尿病需要有针对性的干预措施.
- 建议开展公共卫生宣传计划,以管理贫民窟人口中普遍存在的这些危险因素.
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