Nghiên cứu ảnh hưởng của Kinh tế xã hội đến các yếu tố nguy cơ của các nhóm bệnh tim mạch ở người dân tộc Naxi Vân Nam_Trung Quốc

Nghiên cứu ảnh hưởng của Kinh tế xã hội đến các yếu tố nguy cơ của các nhóm bệnh tim mạch ở người dân tộc Naxi Vân Nam_Trung Quốc_Socioeconomic influence on clustering of cardiovascular risk factors among naxi ethnic minority in yulong county of yunnan province Cardiovascular disease(CVD)Cardiovascular disease is caused by disorders of the heart and blood vessels, and includes coronary heart disease (heart attacks), cerebrovascular disease (stroke), raised blood pressure (hypertension), peripheral artery disease, rheumatic heart disease, congenital heart disease and heart failure. The major risk factors of CVDThere are more than 300 known CVD risk factors. The major causes of cardiovascular disease are tobacco use, physical inactivity, an unhealthy diet and harmful use of alcohol.Methods1. Stratified random sampling was used to select a representative sample of 1402 Naxi ethnic minority aged 35 and over from Yulong county. 2. Information was obtained from a crosssectional questionnaire and health examination survey. .............................

Socioeconomic influence on clustering of cardiovascular risk factors among Naxi ethnic minority in Yulong county of Yunnan province

Institution: School of Public Health, Kunming Medical U

niversity, Kunming, Yunnan Province

Major: Social medicine and health service

management

Name: Cao Feng Tutor: Professor Cai Le

02

03

04

05

Background Aims

Methods Results

Conclusion

One Background

Present situ ation of over sea

Present situ ation of Chin a

Cardiovascular disease(CVD)

Cardiovascular disease is caused by disorders of the heart and blood vesse

ls, and includes coronary heart disease (heart attacks), cerebrovascular dis ease (stroke), raised blood pressure (hypertension), peripheral artery dise ase, rheumatic heart disease, congenital heart disease and heart failure

Cardiovascular disease(CVD)

The major risk factors of CVD

There are more than 300 known CVD risk factors The major causes of card iovascular disease are tobacco use, physical inactivity, an unhealthy diet a

nd harmful use of alcohol.

Present situation

of overs ea

Cardiovascular dis

ease has become t

he leading cause o

f death in the worl

d

80% of the CVD occ

urred in low - and

middle-income cou

ntries

Economic burden o

f cardiovascular dis

ease has risen shar

ply

Cardiovascula

r disease risk factors of socioeconomi

c influence study has received wide recognition

Present situation

of China

Total mortality of c

ardiovascular disea

se showed a trend

of a significant incr

ease

Total population pr

evalence of cardiov

ascular disease con

tinues to rise

Ethnic groups had

different cardiovas

cular disease epide

mic situation

Data on the rel ationship betw een socioecono mic determina nts and cardiov ascular risk fac tors among eth nic minorities

Two Aims

To analyze socioeconomic influencing determinants of CVD risk factors among Naxi ethnic minority in Yulong county of

Yunnan province

Three Methods

1 Stratified random sampling was used to select a repr esentative sample of 1402 Naxi ethnic minority aged 35 and over from Yulong county

2 Information was obtained from a cross-sectional que stionnaire and health examination survey

3.Descriptive statistical analysis were used for the basic situation of people surveyed and the constitutents of di fferent risk factors

4 Chi-Square was undertaken for exploring the associat ion between clustering of CVD risk factors and socioeco nomic position.

risk facto

r

smoking

hypertension

alcohol drinking central obesity

obesity

overweight

diabetes

secondhand smoke exposure

high salt diet

family history

physical inactivity

depression life pressure

Risk factor measurements

Socioeconomic status was measured by six main indicator s: householder; level of education; tap water in the home; toilet in the home; housing situation; per-capita income.

Measure of socioeconomic status

Four Results

central obesity 128 19.9 426 56.2 ** 554 39.5

alcohol drinking 313 48.6 * 30 4.0 343 24.5

CVD family history 62 9.6 83 10.9 145 10.3

high salt diet 183 28.4 201 26.5 384 27.4

secondhand smoke expo

physical inactivity 209 32.5 243 32.1 452 32.3

Table1: Incidence of CVD risk factor of different gender Naxi residents

e exposure and depression(p<0.05)

clustering of car

diovascular risk f

actors

35-44y 45-59y ≥60y Male Female

1-2 265 41.1 332 43.8 203 50.1 212 39.6 182 39.4

≥3 359 55.7 ** 359 47.4 169 41.7 287 53.6 *** 262 56.7 ***

Table2: Clustering of CVD risk factors of Naxi particiants by sex and age

<0.01)

and ≥60y(p<0.01)

Four Results

Socioeconimic indicato

r

Clustering of cardiovascular risk factors

P

Householder:

0.022*

level of education

0.009*

Secondary and above 57 6.7 356 41.8 438 51.5

Socioeconimic status

0.003*

Table3: Chi-Square on association between socioeconomic indicator/status and Clu

stering of CVD risk factors

el of clustering of CVD risk factors (P<0.05)

Five Conclusion

The findings indicate a hig

her level of clustering of CVD

risk factors among Naxi ethni

c minority people in Yunnan

province.

Future prevention and intervention strategies of CVD should m

ore focus on non head of household, individuals with low level of

education and low socioeconomic position.

1 Popularize the health education

2 Improve economic performance

3 Enhancing public education level

Comprehensive prevention and control of CVD should more fouc

s on male Naxi residents.

THANK YOU FOR YOUR ATTENTION 谢谢聆听