Cardiovascular risk factors among women in Mississippi in the 1990s.

Brenda W Campbell, Clifton C Addison, Luenda Charles, Darlene A Thurston
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Abstract

Objectives: To identify the prevalence of cardiovascular disease risk factors among Mississippi women from 1991 to 1999, using data from the Behavior Risk Factor Surveillance Survey (BRFSS) and to examine the probability that certain risk factors would occur in certain groups of African American and white women in Mississippi.

Methods: We extracted self-reported data on 9690 women in Mississippi from the BRFSS for 1991 to 1999. We performed logistic regression analyses to examine the independent effects of age and race as relative risks for cardiovascular disease, controlling for socioeconomic status.

Results: Odds ratios for cigarette smoking for some African American women, for high blood pressure for some white women, and for diabetes in some white and African American women were significantly elevated. Prevalence data, however, showed that African American women had a higher prevalence of diabetes and overweight than white women did.

Conclusion: The prevalence of overweight among Mississippi women seemed to increase as they aged. Decreasing obesity should be a major public health priority, as obesity's association with several chronic diseases is well documented and it is very prevalent among Mississippi women. Implementing programs to address unhealthy behaviors is essential for maintaining good health and thus should be strongly encouraged.

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20世纪90年代密西西比妇女的心血管危险因素。
目的:利用行为风险因素监测调查(BRFSS)的数据,确定1991年至1999年密西西比州妇女中心血管疾病风险因素的流行情况,并检查某些风险因素在密西西比州某些非裔美国人和白人妇女群体中发生的可能性。方法:我们从1991年至1999年的BRFSS中提取了9690名密西西比州妇女的自我报告数据。我们进行了逻辑回归分析,以检验年龄和种族作为心血管疾病相对风险的独立影响,控制社会经济地位。结果:吸烟对一些非裔美国妇女、高血压对一些白人妇女、糖尿病对一些白人和非裔美国妇女的比值比显著升高。然而,流行数据显示,非裔美国女性患糖尿病和超重的比例高于白人女性。结论:密西西比州妇女中超重的患病率似乎随着年龄的增长而增加。减少肥胖应该是一项主要的公共卫生优先事项,因为肥胖与几种慢性疾病的联系是有据可稽的,而且在密西西比妇女中非常普遍。实施解决不健康行为的方案对于保持身体健康至关重要,因此应大力鼓励。
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