|Title:||Chin-Shan Community cardiovascular cohort in Taiwan-baseline data and five-year follow-up morbidity and mortality||Authors:||Lee Y.-T.
|Issue Date:||2000||Journal Volume:||53||Journal Issue:||8||Start page/Pages:||838-846||Source:||Journal of Clinical Epidemiology||Abstract:||
A cohort consisting of 3602 residents (82.8% of the target population) aged 35 years and older was established in 1990 in the Chin-Shan Community, a suburb 20 miles outside of metropolitan Taipei, Taiwan. The long-term objective was to investigate the prospective impact on cardiovascular health in a society undergoing transition from a developing to a developed nation. This article presents the study design, selected baseline risk factors of cardiovascular diseases (CVD), and CVD events at the 5-year follow-up evaluation with an emphasis on sociodemographic differences. The multivariate logistic regression analyses revealed that white-collar individuals were more likely than blue-collar workers to have dyslipidemia including high-density lipoprotein cholesterol (HDL-C) levels <35 mg/dl [odds ratio (OR) = 1.7, 95% confidence interval (CI) = 1.2-2.4] and low-density lipoprotein cholesterol (LDL-C) levels ?160 mg/dl (OR = 1.3, 95% CI = 1.0-1.7). However, they were at slightly lower risk for stroke and CVD/sudden death, and at moderately higher risk for coronary artery disease and diabetes, although both these trends were not significant. Men were more likely than women to have HDL-C levels <35 mg/dl (OR = 1.8, 95% CI = 1.4-2.2), but they were less likely to have LDL-C levels ?160 mg/dl (OR = 0.7, 95% CI = 0.6-0.8). The risk of CVD/sudden death was higher for men than for women during the follow-up period (OR = 1.9, 95% CI = 1.3-2.9). This could be due to risk factors such as a much higher prevalence of tobacco (61.9% vs. 4.5%) and alcohol (43.7% vs. 6.4%) use in men. In conclusion, individuals of higher socioeconomic status have a higher prevalence of dyslipidemia but slightly lower 5-year incidence of CVD events. Copyright (C) 2000 Elsevier Science Inc.
|URI:||https://scholars.lib.ntu.edu.tw/handle/123456789/466306||ISSN:||0895-4356||DOI:||10.1016/S0895-4356(00)00198-0||SDG/Keyword:||high density lipoprotein cholesterol; low density lipoprotein cholesterol; adult; aged; alcohol consumption; article; cardiovascular disease; cohort analysis; demography; diabetes mellitus; dyslipidemia; female; follow up; human; longitudinal study; male; mortality; priority journal; risk factor; sex difference; smoking; social status; stroke; sudden death; Taiwan; Adult; Aged; Cardiovascular Diseases; Cholesterol, HDL; Cholesterol, LDL; Cohort Studies; Community Health Services; Developing Countries; Female; Health Transition; Humans; Hyperlipidemias; Life Style; Logistic Models; Longitudinal Studies; Male; Middle Aged; Morbidity; Prospective Studies; Risk Factors; Sex Factors; Social Class; Survival Analysis; Taiwan
|Appears in Collections:||醫學院附設醫院 (臺大醫院)|
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