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Titolo:
Preventable risk factors for coronary heart disease and stroke amongst ethnic groups in London
Autore:
Lemic-Stojcevic, N; Dundas, R; Jenkins, S; Rudd, A; Wolfe, C;
Indirizzi:
Univ London Kings Coll, Dept Publ Hlth Sci, London SE1 3QD, England Univ London Kings Coll London England SE1 3QD i, London SE1 3QD, England St Thomas Hosp, Ctr Cardiothorac, London, England St Thomas Hosp London England s Hosp, Ctr Cardiothorac, London, England St Thomas Hosp, Dept Care Elderly, London, England St Thomas Hosp LondonEngland Hosp, Dept Care Elderly, London, England
Titolo Testata:
ETHNICITY & HEALTH
fascicolo: 2, volume: 6, anno: 2001,
pagine: 87 - 94
SICI:
1355-7858(200105)6:2<87:PRFFCH>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
AMBULATORY BLOOD-PRESSURE; HYPERTENSION; ENGLAND; WHITES;
Keywords:
ethnicity; coronary heart disease; stroke; risk factors;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
32
Recensione:
Indirizzi per estratti:
Indirizzo: Wolfe, C Univ London Kings Coll, Dept Publ Hlth Sci, Capital House 5th Floor,42 Weston St, London SE1 3QD, England Univ London Kings Coll Capital House 5th Floor,42 Weston St London England SE1 3QD
Citazione:
N. Lemic-Stojcevic et al., "Preventable risk factors for coronary heart disease and stroke amongst ethnic groups in London", ETHN HEALTH, 6(2), 2001, pp. 87-94

Abstract

Objectives. People of African Caribbean descent have higher mortality rates from stroke than other ethnic groups. However, little is known about the prevalence of stroke risk factors in UK ethnic minority groups. We investigated the prevalence of these risk factors amongst African Caribbeans, blackAfricans and whites. Design. A random sample of patients aged 45-74 registered with 16 general practices in south London was surveyed in 1995. Main outcome measures were:prevalence of hypertension. mean serum cholesterol, serum fibrinogen and glycosylated haemoglobin AlC. Logistic and linear regressions were used to determine ethnic differences in these measures. Results. Hypertension was more prevalent in black Caribbeans (79.4%) and black Africans (71.6%) than in whites (54.3%) (p < 0.0001). There were ethnic group differences in mean random rural cholesterol (p < 0.0001), triglycerides (p < 0.0001), fibrinogen (p = 0.03), HDL (p = 0.02) and HbAlC (p < 0.0001). Whites had higher mean random total cholesterol, triglycerides and fibrinogen than black Caribbeans but lower HDL and HbAlC, Black Africans hadsimilar rates to black Caribbeans for these risk factors apart from lower triglyceride levels. Conclusion. These differences in risk factors may partially explain the high stroke mortality rates in black Caribbeans and black Africans compared to whites. There was little difference in prevalence of these risk factors between black Caribbean and black African groups. Specific strategies targeted to each ethnic group need to be developed to reduce risk factors.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/03/20 alle ore 01:12:10