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Social and biological determinants o...
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Sorensen, Mark Vincent.
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Social and biological determinants of cardiovascular risk among rural and urban Yakut: The impact of socioeconomic upheaval.
紀錄類型:
書目-語言資料,印刷品 : Monograph/item
正題名/作者:
Social and biological determinants of cardiovascular risk among rural and urban Yakut: The impact of socioeconomic upheaval./
作者:
Sorensen, Mark Vincent.
面頁冊數:
286 p.
附註:
Source: Dissertation Abstracts International, Volume: 65-01, Section: A, page: 0200.
Contained By:
Dissertation Abstracts International65-01A.
標題:
Anthropology, Physical. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3118615
ISBN:
9780496660391
Social and biological determinants of cardiovascular risk among rural and urban Yakut: The impact of socioeconomic upheaval.
Sorensen, Mark Vincent.
Social and biological determinants of cardiovascular risk among rural and urban Yakut: The impact of socioeconomic upheaval.
- 286 p.
Source: Dissertation Abstracts International, Volume: 65-01, Section: A, page: 0200.
Thesis (Ph.D.)--Northwestern University, 2003.
The collapse of the Soviet Union was a watershed event that resulted in a catastrophic decline in longevity and health status for indigenous Siberians. The focus of this study was to uncover the social, behavioral and physiological causes of this higher mortality.
ISBN: 9780496660391Subjects--Topical Terms:
877524
Anthropology, Physical.
Social and biological determinants of cardiovascular risk among rural and urban Yakut: The impact of socioeconomic upheaval.
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The collapse of the Soviet Union was a watershed event that resulted in a catastrophic decline in longevity and health status for indigenous Siberians. The focus of this study was to uncover the social, behavioral and physiological causes of this higher mortality.
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This research used an urban-rural design to investigate major determinants of cardiovascular risk in the Yakut, an indigenous Siberian group. The study was conducted on 309 subjects residing in 3 urbanized towns and 3 rural villages. Data on sociodemographic characteristics, dietary intake, material style of life and health status were assessed by questionnaire. Blood samples were collected from each patient for analysis of serum total cholesterol, low density lipoprotein, high density lipoprotein, triglycerides and C-reactive protein. The effect of lifestyle on cardiovascular risk factors within and between communities was measured using an ethnographically defined lifestyle index with 2 dimensions, subsistence lifestyle and modern lifestyle.
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This study found diverging subsistence strategies in rural and urban communities, with urbanized towns more integrated into external markets, and rural villages relying on a subsistence lifestyle and local products. Cardiovascular health status was poorer in rural areas, where the prevalence of high cholesterol and hypertension was higher. Clustering of cardiovascular risk factors was different for males and females. Females had higher levels of body fatness and greater risk of obesity, while males had a greater prevalence of hypertension. There was a trend toward greater risk for obesity among females with higher consonance in modern lifestyle, indicating that over time obesity and its associated sequelae may become more prevalent in urban areas, and among those with a more modern lifestyle.
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The significantly higher lipid levels associated with a subsistence diet and indirectly with a subsistence lifestyle, in combination with the higher prevalence of high total cholesterol and hypertension in the rural communities indicate the emergence of a significant health problem associated with the social and cultural changes occurring in Yakutia today. The findings demonstrate that the health consequences of culture change in Russia are complex, multifactorial and vary by age, sex, residence location and lifestyle.
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