Asian Nurs Res.  2011 Sep;5(3):164-169.

Factors Related to Risk of Cardiovascular Disease Among Older Korean Chinese With Hypertension

Affiliations
  • 1School of Nursing, Yanbian University, Yanbian, China.
  • 2School of Nursing, Johns Hopkins University, Baltimore, USA.
  • 3Department of Nursing, Kyungwon University, Seongnam, Korea. jkim@kyungwon.ac.kr
  • 4School of Nursing, Johns Hopkins University, Baltimore, USA.

Abstract

PURPOSE
The purpose of this study was to assess the prevalence of cardiovascular disease (CVD) risk factors among older Korean Chinese with hypertensiondone of the most underserved and understudied ethnic minority groups in China. In addition, factors underlying the risk of CVD were examined.
METHODS
A total of 334 participants were recruited at the Community Health Service Center in Yanji, China. Data regarding socioeconomic, health-related, psychosocial, and other CVD risk factors were collected between June and October 2009. In this cross-sectional study, factors related to the risk of CVD were assessed by multivariate logistic regression; the Framingham Risk Score was used to measure the risk of CVD.
RESULTS
The prevalence of dyslipidemia, diabetes, and current smoking were 75.4%, 6.6%, and 23.1% respectively. Participants who lived alone were twice as likely to have a high risk of CVD (10-year risk of CVD > or =15%; odds ratio [OR], 2.00; 95% confidence interval [CI], 1.13e3.54). Those with a higher education level and greater knowledge about hypertension were at 57% and 62% reduced risk for CVD (OR, 0.43; 95% CI, 0.21e0.92 and OR, 0.38; 95% CI, 0.15-0.95, respectively).
CONCLUSION
Future intervention should include strategies to addressing social isolation and also focus on older Korean Chinese with low education. Knowledge enhancement program is warranted for the prevention of CVD in this population.

Keyword

aged; cardiovascular diseases; hypertension; minority health

MeSH Terms

Aged
Asian Continental Ancestry Group
Cardiovascular Diseases
China
Community Health Services
Cross-Sectional Studies
Dyslipidemias
Humans
Hypertension
Minority Groups
Minority Health
Odds Ratio
Prevalence
Risk Factors
Smoke
Smoking
Social Isolation
Smoke
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