Screening for cardiovascular disease risk factors in an urban low-income setting at baseline and post intervention: a prospective intervention study

作者：Liang En Wee, Gerald Choon‐Huat Koh, Wei Xin Yeo, Run Ting Chin, Jolene Si Min Wong, Branden Seow · 发表于：European Journal of Preventive Cardiology · 年份：2012 · DOI：10.1177/2047487311433890 · 被引用次数：30 · 研究领域：Health Promotion and Cardiovascular Prevention、Cardiovascular Health and Risk Factors、Diabetes, Cardiovascular Risks, and Lipoproteins

BACKGROUND: Not all segments of society might have equal access to screening. We determined predictors for regular cardiovascular health screening at baseline amongst those of low socioeconomic status (SES) and evaluated the effectiveness of a 6-month intervention on screening in this group compared to a high-SES group. METHODS: The study population involved all residents aged ≥ 40 years in two housing estates comprising owner-occupied housing (high SES) and rental flats (low SES) in Singapore. From 2009 to 2011, residents not being screened regularly at baseline for hypertension, diabetes, and dyslipidaemia were offered free and convenient blood pressure, fasting blood glucose, and lipid testing over 6 months. Chi-squared and multi-level logistic regression identified predictors of regular screening at baseline; likelihood ratio and Cox regression analysis identified predictors of screening participation post intervention. RESULTS: Participation was 78.2% (1081/1383). At baseline, in the low-SES group, 41.7% (150/360), 38.8% (177/456), and 30.8% (128/416) had gone for regular hypertension, diabetes, and dyslipidaemia screening, respectively; compared with higher numbers in the high-SES group. Sociodemographic factors predicting regular screening in the low-SES community included being married and not smoking. Post intervention, screening rates rose significantly (p < 0.001) by similar proportions in both communities. Staying in a lower-SES community (adjusted relative risk (...