Low levels of awareness of suboptimal health conditions in a high-risk working population: The “better health for better Hong Kong” health promotion campaign
- 145 Downloads
The incidences of cardiovascular risk factors such as obesity and diabetes are rising in many Asian populations. In April 2000, a 5-year territory-wide health promotion campaign supported by Li Ka Shing Foundation was launched in Hong Kong by the Health InfoWorld of Hospital Authority. From the general working class, 4,832 Chinese people were randomly recruited into this campaign. There were 2,370 men (49.0%) and 2,462 women (51.0%; median age = 43.0 years, range = 17-83 years). Of these, 37.5% were obese (BMI ≥ 25 kg/m2 or waist circumference ≥80 cm in women and ≥90 cm in men), 22.3% had hypertension, 11.6% were smokers, 31.0% had hypercholesterolaemia (total cholesterol ≥5.2 mmol/l), 2.2% had diabetes, and 0.7% had a past history of cardiovascular disease. There were 1,338 participants (27.7%)who had 2 ormore risk factors (more men than women: 36.9% vs. 18.9%,p < .001). Despite this high prevalence of multiple risk factors, most (83.1%) perceived their health status as satisfactory (more men than women: 85.6% vs. 80.7%, p < .001). In conclusion, the combination of high prevalence of multiple risk factors and low levels of awareness of their suboptimal health status herald a looming epidemic of life-threatening diseases in a group of middle-aged Hong Kong people. Massive public education is an important and essential, although it may not be self-sufficient, factor to reduce the socioeconomic impacts of this epidemic.
Key wordsawareness cardiovascular disease risk factors Hong Kong Chinese
Unable to display preview. Download preview PDF.
- Alberti, K. G., & Zimmet, P. Z. for the World Health Organization Consultation. (1998). Definition, diagnosis and classification of diabetes mellitus and its complications: Part 1. Diagnosis and classification of diabetes mellitus. Provisional report of aWorld Health Organization consultation.Diabetic Medicine, 15, 539–553.PubMedCrossRefGoogle Scholar
- Chan, D., & Yeung, S. (1998). Mortality trends of cerebrovascular disease in HongKong.Public Health Epidemiology, XX, 32–36.Google Scholar
- Fujimoto, W. Y. for the Diabetes Prevention Program Research Group. (2000). Background and recruitment data for the U.S. Diabetes Prevention Program.Diabetes Care, 23(Suppl. 2), B11-B13.Google Scholar
- Leung, S. S., Ng, M. Y., Tan, B. Y., Lam, C. W., Wang, S. F., Xu, Y. C., et al. (1994). Serum cholesterol and dietary fat of two populations of southern Chinese.Asian Pacific Journal of Clinical Nutrition, 3, 127–130.Google Scholar
- National Cholesterol Education Report Expert Panel. (2001). Executive summary of the third report of the NECP expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (adult treatment panel III).Journal of American Medical Association, 285, 2486–2497.CrossRefGoogle Scholar
- Statistics & Research Unit, Hospital Authority. (2004). Hospital Authority Statistical Report 2003/2004. Hong Kong. Available at: http://ha.home/visitor/.Google Scholar
- Tong, P. C., Lee, Z. S., Sea, M. M., Chow, C. C., Ko, G. T., Chan, W. B., et al. (2002). The effect of orlistat-induced weight loss, without concomitant hypocaloric diet, on cardiovascular risk factors and insulin sensitivity in young obese Chinese subjects with or without type 2 diabetes.Archives of Internal Medicine, 162, 2428–2435.PubMedCrossRefGoogle Scholar
- Tuomilehto, J., Lindstrom, J., Eriksson, J. G., Valle, T. T., Hamalainen, H., Ilanne-Parikka, P., et al.; Finnish Diabetes Prevention Study Group. (2001). Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance.New England Journal of Medicine, 344, 1343–1350.PubMedCrossRefGoogle Scholar
- World Health Organization Western Pacific Region, International Association for the Study of Obesity and the International Obesity Task Force. (2000).The Asia-Pacific perspective: Redefining obesity and its treatment. Australia, Sydney: Health Communications Australia Pty Limited.Google Scholar
- Yeung, S. (1997). Mortality trends of heart disease in Hong Kong.Public Health & Epidemiology Bulletin, 4–6.Google Scholar