Daviglus Martha L, Pirzada Amber, Talavera Gregory A
Institute for Minority Health Research, University of Illinois at Chicago, Chicago, IL; Department of Medicine, University of Illinois at Chicago, Chicago, IL; Department of Preventive Medicine, Northwestern University, Chicago, IL.
Institute for Minority Health Research, University of Illinois at Chicago, Chicago, IL.
Prog Cardiovasc Dis. 2014 Nov-Dec;57(3):230-6. doi: 10.1016/j.pcad.2014.07.006. Epub 2014 Aug 2.
Cardiovascular disease (CVD) is one of the leading causes of mortality among Hispanics/Latinos residing in the United States (US), yet despite the rapid growth of this diverse population, there has been a dearth of objective, comprehensive data on prevalence of risk factors for CVD and other chronic diseases. The Hispanic Community Health Study/SOL) is the largest and most comprehensive cohort study to date/SOL) was initiated to address this gap in knowledge. This article reviews existing research on CVD risk factors among Hispanic/Latino adults of diverse background residing in the US, compares findings from HCHS/SOL with other representative samples on prevalence of major CVD risk factors in this population, and discusses the lessons learned thus far from HCHS/SOL. Baseline findings from this study demonstrate that sizeable burdens in CVD risk exist among all major Hispanic/Latino background groups in the US. At the same time, there are marked variations in rates of individual risk factors by Hispanic/Latino background groups. Comprehensive public health policies to lower CVD risk among those who have adverse levels of one or more risk factors, and to prevent development of CVD risk factors in the small proportion free of CVD risk are urgently needed to lower the future burden of CVD among the US Hispanic/Latino population.
心血管疾病(CVD)是居住在美国的西班牙裔/拉丁裔人群中主要的死亡原因之一。然而,尽管这一多样化人群数量迅速增长,但关于心血管疾病和其他慢性疾病风险因素患病率的客观、全面数据却很匮乏。西班牙裔社区健康研究/拉丁裔研究(HCHS/SOL)是迄今为止规模最大、最全面的队列研究,开展该研究旨在填补这一知识空白。本文回顾了关于居住在美国的不同背景西班牙裔/拉丁裔成年人心血管疾病风险因素的现有研究,将HCHS/SOL的研究结果与该人群主要心血管疾病风险因素患病率的其他代表性样本进行了比较,并讨论了到目前为止从HCHS/SOL中吸取的经验教训。这项研究的基线结果表明,在美国所有主要的西班牙裔/拉丁裔背景群体中,心血管疾病风险负担都相当大。与此同时,不同西班牙裔/拉丁裔背景群体的个体风险因素发生率存在显著差异。迫切需要制定全面的公共卫生政策,以降低那些一种或多种风险因素处于不良水平人群的心血管疾病风险,并防止在少数无心血管疾病风险人群中出现心血管疾病风险因素,从而降低美国西班牙裔/拉丁裔人群未来的心血管疾病负担。