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首页> 外文期刊>Proceedings of the National Academy of Sciences of the United States of America >Educational status and cardiovascular risk profile in Indians
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Educational status and cardiovascular risk profile in Indians

机译：印第安人的教育状况和心血管疾病风险状况

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摘要

The inverse graded relationship of education and risk factors of coronary heart disease (CHD) has been reported from Western populations. To examine whether risk factors of CHD are predicted by level of education and influenced by the level of urbanization in Indian industrial populations, a cross-sectional survey (n = 19,973; response rate, 87.6%) was carried out among employees and their family members in 10 medium-to-large industries in highly urban, urban, and periurban regions of India. Information on behavioral, clinical, and biochemical risk factors of CHD was obtained through standardized instruments, and educational status was assessed in terms of the highest educational level attained. Data from 19,969 individuals were used for analysis. Tobacco use and hypertension were significantly more prevalent in the low-(56.6% and 33.8%, respectively) compared with the high-education group (12.5% and 22.7%, respectively; P < 0.001). However, dyslipidemia prevalence was significantly higher in the high-education group (27.1% as compared with 16.9% in the lowest-education group; P < 0.01). When stratified by the level of urbanization, industrial populations located in highly urbanized centers were observed to have an inverse graded relationship (i.e., higher-education groups had lower prevalence) for tobacco use, hypertension, diabetes, and overweight, whereas in less-urbanized locations, we found such a relationship only for tobacco use and hypertension. This study indicates the growing vulnerability of lower socioeconomic groups to CHD. Preventive strategies to reduce major CHD risk factors should focus on effectively addressing these social disparities.
机译：西方人群已经报告了教育与冠心病（CHD）危险因素的逆分级关系。为了检查印度工业人口中冠心病的危险因素是否受教育程度的预测并受城市化水平的影响，在员工及其家庭成员中进行了一项横断面调查（n = 19,973；答复率为87.6％）。印度高城市，城市和郊区地区的10个大中型行业。通过标准化工具获得了冠心病的行为，临床和生化危险因素的信息，并根据所达到的最高学历对教育状况进行了评估。来自19,969个人的数据用于分析。与高学历组（分别为12.5％和22.7％； P <0.001）相比，低学历（分别为56.6％和33.8％）的烟草使用和高血压更为普遍。然而，高脂组的血脂异常患病率显着更高（27.1％，而最低学历组的血脂异常发生率为16.9％； P <0.01）。按城市化水平分层时，观察到位于高度城市化中心的工业人口与烟草使用，高血压，糖尿病和超重的关系呈反比例关系（即，受教育程度较高的人群患病率较低），而城市化程度较低的人群则呈反比例关系。地点，我们发现这种关系仅与吸烟和高血压有关。这项研究表明，社会经济地位较低的人群对冠心病的脆弱性日益增加。减少主要冠心病危险因素的预防策略应集中于有效解决这些社会差距。

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