Table 3.
Odds Ratios and 95% Confidence Intervals for the Association Between Awareness, Treatment and Control of Cardiovascular Disease Risk Factors and Residence in the High Vs. Low Ischemic Heart Disease (IHD) and Stroke Mortality Tertilesa,b,c,e,f
| Outcomes | IHD
|
Stroke
|
||
|---|---|---|---|---|
| High vs. low IHD mortality
|
High vs. low stroke mortality
|
|||
| Crude OR (95% CI) | Adjusted OR (95% CI)a | Crude OR (95% CI) | Adjusted OR (95% CI) | |
| Hypertensiond | ||||
| Awareness (n=11549) | 1.11 (0.96–1.29) | 1.14 (0.97–1.35) | 1.08 (0.94–1.26) | 1.07 (0.90–1.28) |
| Treatment (n=10380) | 1.09 (0.87–1.38) | 1.10 (0.85–1.43) | 0.87 (0.70–1.09) | 0.80 (0.61–1.04) |
| Control (n=9909) | 1.02 (0.93–1.13) | 1.00 (0.89–1.12) | 0.96 (0.87–1.06) | 0.88 (0.78–0.99) g |
| Diabetese | ||||
| Awareness (n=4380) | 0.97 (0.76–1.23) | 1.02 (0.78–1.34) | 1.08 (0.85–1.37) | 0.98 (0.73–1.31) |
| Treatment (n=3975) | 1.26 (1.03–1.54)g | 1.21 (0.96–1.52) | 1.13 (0.93–1.37) | 1.12 (0.88–1.42) |
| Control (n=3217) | 1.08 (0.92–1.26) | 0.79 (0.64–0.96)g | 0.88 (0.74–1.05) | 0.82 (0.64–1.05) |
| Hyperlipidemiaf | ||||
| Awareness (n=12791) | 1.07 (0.97–1.18) | 1.05 (0.94–1.17) | 0.99 (0.90–1.09) | 0.98 (0.87–1.10) |
| Treatment (n=9605) | 1.05 (0.95–1.17) | 1.06 (0.94–1.20) | 1.03 (0.93–1.14) | 1.02 (0.90–1.15) |
| Control (n=6146) | 0.84 (0.72–0.97)g | 0.83 (0.70–0.98) g | 0.97 (0.83–1.12) | 0.95 (0.80–1.14) |
Awareness = knowledge of the participant about the cardiovascular disease risk factors
Treatment = Whether the participant is receiving treatment for disease
Control = An assessment of whether the cardiovascular disease risk factor is under control based on clinically defined cut-points
Hypertension = Defined as having a blood pressure of 140/90 or greater (130/80 or greater if the participant also had diabetes or chronic kidney disease, defined as estimated glomerular filtration rate [eGFR] <60 ml/min/1.73m), or report of being told by a doctor or nurse they had hypertension
Diabetes = Defined as a fasting blood sugar >126 mg/dL, having been told by a doctor or nurse they had diabetes, or treatment with a diabetes medication
Hyperlipidemia: Defined as cholesterol >130mg/dL, having been told by a doctor or nurse they had high cholesterol, or treatment with a cholesterol medication
Denotes statistically significant figures
CI = Confidence Intervals; models adjusted for age, race, gender, education, income, Body Mass Index (BMI), exercise alcohol/tobacco use, medication adherence, and rurality
IHD = Ischemic Heart Disease
OR = Odds Ratio