دانلود مقاله : 

Age trends in prevalence of cardiovascular risk factors in Roma minority population of Croatia 2013

نویسندگان : 

Hrvojka Marija Zeljko , Tatjana Sˇkaric´ -Juric´ , Nina Smolej Narancˇic´ , Ana Baresˇic´  ,Zˇeljka Tomas  , Matea Zajc etranovic´  , Jasna Milicˇic´  , Marijana Pericˇic´ Salihovic´ ,Branka Janic´ijevic

چکیده : 

The Roma (Gypsy) are the largest European minority population characterized by poverty,

social exclusion as well as by numerous life-style and cultural specificities, which all could

have an adverse impact on their cardiovascular health. This study assesses the prevalence

of cardiovascular diseases (CVD) risk factors in community-based sample of 430 adult

Roma, living in rural area of Croatia, by providing the actual and age-adjusted estimates

using the European standard population. The most prominent classical CVD risk

phenotypes (blood pressure, obesity, smoking, glucose and lipid profile) were selected,

and the standard risk cut-offs were applied. The study has shown that compared to general

population of Croatia, the Roma population bears a high CVD risk factors load related to

smoking and high glucose level. The CVD risk factors prevalence in Roma also showed

important sex and age patterns, the most imposing of which are the findings of higher

prevalence of CVD risks in women (especially obesity and triglyceride levels) and the trend

of higher body mass index (BMI) level in younger age group (18–34 years) which both

stand in contrast to the trends characterizing the general population of Croatia. These

findings are complemented by the trend of decreased risk in the oldest age group (65+

years) for all investigated CVD risk factors (with exception of triglycerides level) compared

to the 50–64 age group. We conclude that the age and sex CVD risks pattern point to the

health transition of this rural Roma population. As we expect the proportion of CVD in the

Roma minority of Croatia to increase in the future along with further modernization of

their lifestyle, the CVD prevention measures in this population are urgent and should be

primarily targeted at women and at the younger segment of this population

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