Mesh : Cardiovascular Diseases / epidemiology Chronic Disease Guyana Heart Disease Risk Factors Humans Hypertension / epidemiology Risk Factors

来  源:   DOI:10.5334/aogh.3060   PDF(Pubmed)

Abstract:
Guyana experiences health challenges related to both communicable and non-communicable diseases. Cardiovascular disease (CVD) is the most common non-communicable disease in Guyana. The main causes of the increased prevalence of non-communicable diseases are modifiable risk factors (e.g. obesity, hypertension, elevated cholesterol, unhealthy dietary patterns) and non-modifiable risk factors (e.g. age and genetics).
The aim of this review is to understand CVD and risk factor data, in the context of ethnicity in Guyana.
A review of the published literature as well as government and international health agency reports was conducted. All publications from 2002-2018 describing CVD and related risk factors in Guyana were screened and extracted.
The population of Guyana is comprised of six ethnic groups, of which East Indian (39.8%) and African (29.3%) are the majority. CVD accounts for 526 deaths per 100,000 individuals per year. Among Indo-Guyanese and Afro-Guyanese, CVD is the primary cause of death affecting 32.6% and 22.7% of the populations, respectively. Within the Indo-Guyanese and Afro-Guyanese communities there is a high prevalence of hypertension and diabetes among individuals over the age of 50. There is a lack of available data describing ethnic disparities in CVD and related risk factors such as obesity, smoking, alcohol, physical activity and diet in Guyana.
Important knowledge gaps remain in understanding the ethnic disparities of CVD and related risk factors in Guyana. Future research should focus on high risk populations and implement widespread screening and treatment strategies of common risk factors such as hypertension, diabetes, and elevated cholesterol to curb the epidemic of CVD in Guyana.
摘要:
圭亚那面临着与传染病和非传染病有关的健康挑战。心血管疾病(CVD)是圭亚那最常见的非传染性疾病。非传染性疾病患病率增加的主要原因是可改变的危险因素(例如,高血压,胆固醇升高,不健康的饮食模式)和不可改变的风险因素(如年龄和遗传)。
这篇综述的目的是了解心血管疾病和危险因素数据,在圭亚那的种族背景下。
对已发表的文献以及政府和国际卫生机构的报告进行了回顾。筛选并提取2002-2018年所有描述圭亚那CVD和相关危险因素的出版物。
圭亚那的人口由六个民族组成,其中东印度(39.8%)和非洲(29.3%)占多数。CVD每年每10万人中有526人死亡。在印度裔圭亚那人和非洲裔圭亚那人中,CVD是死亡的主要原因,影响了32.6%和22.7%的人口,分别。在印度-圭亚那和非洲-圭亚那社区中,50岁以上的人群中高血压和糖尿病的患病率很高。缺乏描述心血管疾病种族差异和肥胖等相关危险因素的可用数据。吸烟,酒精,圭亚那的体育活动和饮食。
在理解圭亚那心血管疾病的种族差异和相关危险因素方面仍然存在重要的知识差距。未来的研究应集中在高危人群,并对高血压等常见危险因素实施广泛的筛查和治疗策略,糖尿病,和胆固醇升高以遏制圭亚那心血管疾病的流行。
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