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首页> 外文期刊>International Journal of Chronic Diseases >Association of Socioeconomic Position and Demographic Characteristics with Cardiovascular Disease Risk Factors and Healthcare Access among Adults Living in Pohnpei, Federated States of Micronesia
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Association of Socioeconomic Position and Demographic Characteristics with Cardiovascular Disease Risk Factors and Healthcare Access among Adults Living in Pohnpei, Federated States of Micronesia

机译：密克罗尼西亚联邦波纳佩市成年人的社会经济地位和人口统计学特征与心血管疾病危险因素和医疗保健机会的关联

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Background. The burden of cardiovascular disease (CVD) is increasing in low-to-middle income countries. We examined how socioeconomic and demographic characteristics may be associated with CVD risk factors and healthcare access in such countries.Methods. We extracted data from the World Health Organization’s STEPwise approach to surveillance 2002 cross-sectional dataset from Pohnpei, Federated States of Micronesia (FSM). We used these data to estimate associations for socioeconomic position (education, income, and employment) and demographics (age, sex, and urban/rural) with CVD risk factors and with healthcare access, among a sample of 1638 adults (25–64 years).Results. In general, we found significantly higher proportions of daily tobacco use among men than women and respondents reporting primary-level education (<9 years) than among those with postsecondary education (>12 years). Results also revealed significant positive associations between paid employment and waist circumference and systolic blood pressure. Healthcare access did not differ significantly by socioeconomic position. Women reported significantly higher mean waist circumference than men.Conclusion. Our results suggest that socioeconomic position and demographic characteristics impact CVD risk factors and healthcare access in FSM. This understanding may help decision-makers tailor population-level policies and programs. The 2002 Pohnpei data provides a baseline; subsequent population health surveillance data might define trends.
机译：背景。中低收入国家的心血管疾病（CVD）负担正在增加。我们研究了在这些国家中，社会经济和人口特征如何与CVD危险因素和医疗保健获取相关联。我们从世界卫生组织的密克罗尼西亚联邦Pohnpei的2002年监视截面数据集的逐步方法中提取了数据。我们使用这些数据来估计1638名成年人（25-64岁）的社会经济地位（教育，收入和就业）和人口统计资料（年龄，性别和城市/农村）与CVD危险因素和医疗保健的相关性）。结果。总的来说，我们发现男性中每天吸烟的比例明显高于女性，并且接受初等教育（<9岁）的受访者比接受专上教育的人（> 12岁）高。结果还显示，带薪工作与腰围和收缩压之间存在显着的正相关。医疗服务的获取在社会经济地位方面没有显着差异。女性的平均腰围明显高于男性。我们的结果表明，社会经济地位和人口统计学特征会影响FSM中的CVD风险因素和医疗服务。这种理解可以帮助决策者制定人口政策和计划。 2002年Pohnpei数据提供了基准;随后的人群健康监测数据可能会确定趋势。

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