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Cardiovascular health among the Czech population at the beginning of the 21st century: a 12-year follow-up study
M. Lustigova, D. Dzurova, H. Pikhart, R. Kubinova, M. Bobak,
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články, práce podpořená grantem
Grantová podpora
Wellcome Trust - United Kingdom
064947/Z/01/Z
Wellcome Trust - United Kingdom
081081/Z/06/Z
Wellcome Trust - United Kingdom
NLK
ProQuest Central
od 1979-06-01 do Před 6 měsíci
Nursing & Allied Health Database (ProQuest)
od 1979-06-01 do Před 6 měsíci
Health & Medicine (ProQuest)
od 1979-06-01 do Před 6 měsíci
Psychology Database (ProQuest)
od 1979-06-01 do Před 6 měsíci
Public Health Database (ProQuest)
od 1979-06-01 do Před 6 měsíci
PubMed
29439193
DOI
10.1136/jech-2017-209967
Knihovny.cz E-zdroje
- MeSH
- cholesterol MeSH
- diabetes mellitus epidemiologie MeSH
- dospělí MeSH
- hypertenze epidemiologie MeSH
- kardiovaskulární nemoci epidemiologie mortalita MeSH
- komorbidita MeSH
- kouření MeSH
- lidé středního věku MeSH
- lidé MeSH
- nárazové pití alkoholu MeSH
- následné studie MeSH
- pití alkoholu epidemiologie MeSH
- senioři MeSH
- socioekonomické faktory MeSH
- stupeň vzdělání MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika MeSH
BACKGROUND: In the late 1980s, Czechia was among the countries which had the highest cardiovascular mortality in the world. In spite of enormous improvements since that time, there are still large opportunities in further improving cardiovascular health. METHODS: Based on the Czech Health, Alcohol and Psychosocial Factors in Eastern Europe sample (n=8449 at baseline, 12 years of follow-up, 494 cardiovascular disease (CVD) deaths up to 2015-events), the impact of selected covariates such as education, smoking habits, high blood pressure, blood cholesterol level, diabetes, obesity, physical activity and binge drinking and their multifactorial effects on cardiovascular mortality was evaluated by Cox regression. In addition, population attributable fractions (PAFs) were used to quantify the impact of these factors on CVD mortality in the population. RESULTS: Education was found as the strongest determinant of CVD mortality (primary vs university, HR 2.77, P<0.001; PAF=50.5%). CVD risk was two times higher for persons with diabetes compared with those without (HR 2.02, P<0.001, PAF=23.2%). Furthermore, significant factors found were smoking (smoker vs non-smoker, HR 1.91, P<0.001; PAF=26.5%), high blood pressure (HR 1.73, P<0.001; PAF=35.3%) and physical inactivity (none vs sufficient, HR 1.60, P<0.001; PAF=22.9%). Conversely, the effect of obesity was low (HR 1.29, P value =0.020), and binge drinking and high blood cholesterol level were not significant at all. CONCLUSIONS: Education had the largest impact on cardiovascular mortality among the Czech population. More than 50% of CVD death would be prevented if the whole population had the same risk values as the highest educated population. Reducing disparities in health related to education should benefit from attention to cardiovascular health literacy.
Citace poskytuje Crossref.org
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