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Cardiovascular health awareness,risk perception,behavioural intention and interheart risk stratification among middle-aged adults in Malaysia

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Asian Pacific Journal of Tropical Medicine 2024年第2期17卷 61-70页

作者： Siew-Keah Lee Ang-Lim Chua Clement Heng Yew Fong Ban Hao Brian Cong Wen Ling Ng Jing Feng Kong Yik-Ling Chew Kai Bin Liew Yang Shao M.Kandiah Faculty of Medicine and Health Sciences Universiti Tunku Abdul RahmanMalaysia Faculty of Medicine Universiti Teknologi MARAMalaysia Faculty of Pharmaceutical Sciences UCSI UniversityMalaysia Faculty of Pharmacy University of CyberjayaMalaysia The First Affiliated Hospital of Hainan Medical University China

Objective:To investigate the interrelationship between cardiovascular health awareness,risk perception,behavioural intention,and interheart risk stratification in a middle-aged adult population in ***:A cross-sectional survey with convenience sampling was conducted during November 2022 and January *** completed validated questionnaires assessing cardiovascular health awareness,risk perception of cardiovascular diseases,behavioural intention towards adopting healthy habits,and interheart risk stratification score(IHRS)based on established risk factors.A total of 602 respondents were included in the final *** were analysed with independent t-test/one-way ANOVA or Mann-Whitney/Kruskal-Wallis to test the differences,Pearson correlation or linear regression test to analyze the association of independent and dependent ***:There was a significant positive correlation between medical knowledge related to cardiovascular disease(CVD)and knowledge related to CVD risk prevention,risk perception,behavioural intention and IHRS(P<0.05,Pearson correlation).Notably,individuals with higher IHRS tended to have lower knowledge related to CVD and CVD risk prevention,risk perception,and behavioural ***,laborers,active/former smokers,individuals with lower household income and educational levels,those involved in occupations not related to the healthcare sector,and those who did not receive the CVD health brochure or are unaware of health self-assessment tools are likely to have lower levels of knowledge,risk perception,and poorer behavioural intention regarding cardiovascular health(P<0.05,one-way ANOVA).While educational level,smoking status,awareness about CVD poster,self-assessment tools were repeatedly significantly associated with knowledge related to CVD and CVD risk prevention,risk perception,behavioral intention and/or IHRS(P<0.05,linear regression).Conclusions:These findings underscore the importance of promoting car

关键词： Cardiovascular risk Knowledge Risk perception Behavioural intention interheart Middle-aged Lifestyle Physical activity Psychosocial stress

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社会心理危险因素与急性心肌梗死危险性之间的关系(interheart研究):一项52个国家的11119例患者和13648例对照的病例对照研究

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世界核心医学期刊文摘（心脏病学分册） 2005年第2期1卷 9-10页

作者： Rosengren A. Hawken S. Ounpuu S. P.S. Yusuf 王亭忠 McMaster University Hamilton Health Sciences Hamilton Ont. Can ada

Background Psychosocial factors have been reported to be independently associa ted with coronary heart disease. However, previous studies have been in mainly N orth American or European populations. The aim of the present analysis was to in vestigate the relation of psychosocial factors to risk of myocardial infarction in 24 767 people from 52 countries. Methods We used a case control design with 11 119 patients with a first myocardial infarction and 13 648 age matched (up t o 5 years older or younger) and sex matched controls from 262 centres in Asia, Europe, the Middle East, Africa, Australia, and North and South America. Data fo r demographic factors, education, income, and cardiovascular risk factors were o btained by standardised approaches. Psychosocial stress was assessed by four sim ple questions about stress at work and at home, financial stress, and major life events in the past year. Additional questions assessed locus of control and pre sence of depression. Findings People with myocardial infarction (cases) reported higher prevalence of all four stress factors (p < 0.0001). Of those cases still working, 23.0%(n=1249) experienced several periods of work stress compared wit h 17.9%(1324) of controls, and 10.0%(540) experienced permanent work stress du ring the previous year versus 5.0%(372) of controls. Odds ratios were 1.38 (99 %CI 1.19-1.61) for several periods of work stress and 2.14(1.73-2.64) for per manent stress at work, adjusted for age, sex, geographic region, and smoking. 11 .6%(1288) of cases had several periods of stress at home compared with 8.6%(11 79) of controls (odds ratio 1.52 [99%CI 1.34-1.72]), and 3.5%(384) of cases r eported permanent stress at home versus 1.9%(253) of controls (2.12 [1.68-2.6 5 ]). General stress (work, home, or both) was associated with an odds ratio of 1 . 45 (99%CI 1.30-1.61) for several periods and 2.17 (1.84-2.55) for permanent s tress. Severe financial stress was more typical in cases than controls(14.6%[1 6 22

关键词：急性心肌梗死 interheart 病例对照研究社会心理冠状动脉心脏病工作压力应激性生活事件家庭压力持续性人口统计学

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interheart研究:冠心病可防可控——人类征服冠心病的时代不会遥远

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中华医学信息导报 2004年第18期19卷 1-1页

作者：胡大一同济大学医学院首都医科大学附属北京同仁医院

2004年8月30日,在2004年的欧洲心脏病学术大会上,加拿大的Salin Yussuf代表研究者公布了interheart研究的重大成果,以令人信服的证据显示冠心病可防可控。 interheart研究为52个国家参与的最大规模的病例对照实验之一,旨在世界范围内... 详细信息

2004年8月30日,在2004年的欧洲心脏病学术大会上,加拿大的Salin Yussuf代表研究者公布了interheart研究的重大成果,以令人信服的证据显示冠心病可防可控。 interheart研究为52个国家参与的最大规模的病例对照实验之一,旨在世界范围内确定冠心病的危险因素。研究对象包括15152例心肌梗死患者和14820例年龄与性别匹配的对照组。其中的7000例来自欧洲,4000例来自

关键词：冠心病冠状动脉病 interheart 人类可控

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interheart研究的52个国家中烟草使用与心肌梗死风险的关系:一项病例对照研究

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世界核心医学期刊文摘（心脏病学分册） 2007年第1期3卷 2-2页

作者： Teo K.K. Ounpuu S. Hawken S. S.Yusuf 马超 Population Health Research Institute McMaster University-Hamilton Health Sciences Hamilton Ont. L8L 2X2 CanadaProf

背景:烟草使用是心血管疾病可避免的主要原因之一。本研究的目的是评估全世界范围内与烟草使用(吸烟和非吸烟)和吸二手烟(SHS)相关的风险。方法:对52个国家的27098例参与者(12461例患者,14637例对照者)进行一项关于急性心肌梗死(AMI)的... 详细信息

背景:烟草使用是心血管疾病可避免的主要原因之一。本研究的目的是评估全世界范围内与烟草使用(吸烟和非吸烟)和吸二手烟(SHS)相关的风险。方法:对52个国家的27098例参与者(12461例患者,14637例对照者)进行一项关于急性心肌梗死(AMI)的标准化病例对照研究。评估AMI风险与当前或曾经吸烟、烟草类型、吸烟量、无烟烟草作用及SHS暴露的关系。校正诸如吸烟者和不吸烟者之间生活方式差异的混杂因素。

关键词： interheart 心血管疾病病例对照研究混杂因素方式差异非致死性年轻男性暴露程度参

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Low-density Lipoprotein Cholesterol/High-density Lipoprotein Cholesterol Ratio as Predictor of First Acute Myocardial Infarction and Major Adverse Cardiovascular Event after Intervention in Young Males

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Chinese Medical Journal 2018年第18期131卷 2239-2241页

作者： Zhao Li Shao-Jun Wen Zhi-Zhong Li Nan Li Ji Huang Department of Cardiology Beijing Anzhen Hospital Capital University of Medical Sciences Beijing 100029 China Department of Hypertension Research Beijing Anzhen Hospital Beijing Institute of Heart Lung and Blood Vessel Disease Capital University of Medical Sciences Beijing 100029 China

To the Editor： Acute myocardial infarction （AMI） is an unstable ischemic syndrome induced event of myocardial necrosis. Although it is well known that lipid abnormalities are linked to AMI risk, the optimal lipid parameter for risk prediction is unclear. Analyses from the interheart study demonstrated the role of low-density lipoprotein cholesterol （LDL-C）/high-density lipoprotein cholesterol （HDL-C） ratio and triglycerides （TG）/HDL-C ratio in AMI, in addition to that of LDL-C and HDL-C absolute values, prompting the search for optimal and reliable markers for AMI. Furthermore, lipid abnormalities are affected by ethnicity, age, and gender. However, limited data are available for young Chinese males. The present study aimed to evaluate the characteristics of plasma lipids and their association with the risk and clinical outcome of a first AMI in this population.

关键词： 52 COUNTRIES RISK-FACTORS APOLIPOPROTEINS interheart

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