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首页> 外文期刊>Annals of epidemiology >Cardiovascular health among adults in Syria: a model from developing countries.
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Cardiovascular health among adults in Syria: a model from developing countries.

机译：叙利亚成年人的心血管健康：来自发展中国家的模型。

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PURPOSE: Despite the considerable mortality and morbidity associated with cardiovascular disease (CVD), many developing countries lack reliable surveillance of these ailments and their risk factors to guide intervention. This study aims to provide the first population-based estimates of CVD morbidity and mortality among adults in Aleppo, Syria and the distribution of their risk factors. METHODS: A cross-sectional survey of adults 18 to 65 years old residing in Aleppo, Syria was carried out in 2004, involving 2038 household representatives (45.2% men; mean age, 35.3 years; response rate, 86%). Main outcomes of interest were physician-diagnosed CVD (infarction, angina, failure, stroke) among survey participants, and past 5-year mortality due to CVD among their household members older than 20 years of age (N = 6252, 49.5% men). Measurement of blood pressure (BP), height and weight, and smoking history were obtained as well. RESULTS: Prevalence of CVD was 4.8% for heart disease and 1.0% for stroke. CVD wasresponsible for 45.0% of overall mortality reported in the past 5 years, whereby 49% of CVD deaths occurred before the age of 65 years. Mean age of death was 62.6 years (63.6 years for heart disease and 61.4 years for stroke). Annual crude death rate due to CVD was 314 per 100,000 (95% confidence interval [95% CI]: 215-414); of these, 179 were due to heart disease, and 135 due to stroke. More men than women died from heart disease, whereas the opposite was true for stroke. Hypertension was detected in 40.6% (47.7% men, 34.9%women), obesity in 38.2% (28.8% men, 46.4% women), and smoking (cigarettes or waterpipe) in 38.7% (63.6% men, 19.2% women) of participants. Of those surveyed, 39.3% had one CVD risk factor, 27.4% had two risk factors, and 8.3% had 3 risk factors. Main predictors of clustering of risk factors were older age, male gender, and low education. CONCLUSIONS: Syria is currently undergoing a stage in which morbidity and mortality from CVD are high but likely to increase based on the population's risk profile. CVD risk distribution in Syrian society highlights the non-generalizability of CVD models from developed societies, and calls for local studies to inform effective interventions and policies.
机译：目的：尽管与心血管疾病（CVD）相关的死亡率和发病率很高，但许多发展中国家仍缺乏对这些疾病及其危险因素的可靠监测以指导干预。这项研究旨在提供第一个基于人群的叙利亚阿勒颇成年人中CVD发病率和死亡率及其危险因素分布的估计。方法：2004年对居住在叙利亚阿勒颇的18至65岁成年人进行了横断面调查，涉及2038名家庭代表（男性45.2％;平均年龄35.3岁;回应率86％）。感兴趣的主要结果是调查参与者中医生诊断的CVD（梗塞，心绞痛，衰竭，中风），以及20岁以上家庭成员因CVD而导致的过去5年死亡率（N = 6252，男性49.5％）。 。还可以测量血压（BP），身高和体重以及吸烟史。结果：心脏病的CVD患病率为4.8％，中风的患病率为1.0％。在过去5年中，CVD占总死亡率的45.0％，其中CVD死亡的49％发生在65岁之前。平均死亡年龄为62.6岁（心脏病为63.6岁，中风为61.4岁）。 CVD造成的年度原油死亡率为每100,000人314（95％置信区间[95％CI]：215-414）;其中，179例归因于心脏病，135例归因于中风。死于心脏病的男人多于女人，而中风则相反。高血压的比例为40.6％（男性为47.7％，女性为34.9％），肥胖率为38.2％（男性为28.8％，女性为46.4％），吸烟率为38.7％（男性为63.6％，女性为19.2％）。参加者。在被调查者中，有39.3％有1个CVD危险因素，有27.4％有2个危险因素，有8.3％有3个危险因素。危险因素聚集的主要预测因素是年龄，男性，低学历。结论：叙利亚目前正处于心血管疾病的发病率和死亡率很高的阶段，但根​​据人口的风险状况可能会增加。叙利亚社会中的CVD风险分布突显了发达社会的CVD模型不可普遍化，并呼吁地方研究为有效的干预措施和政策提供信息。

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