ABSTRACT

Objectives: Women from low socio-economic, culturally insular populations are at increased risk for cardiovascular disease (CVD). The ultra-Orthodox Jewish (UOJ) community in Israel is a rapidly growing low socio-economic, insular, cultural-ethnic minority with numerous obstacles to health. The current cross-sectional study investigates CVD-related health behaviors and risk factors in a sample of UOJ females, comparing sample characteristics with the general population. Design: Self-administered questionnaires completed by a cluster randomized sample of 239 UOJ women included demographics, CVD-related health behaviors (consumption of fruit, vegetables, and sweetened beverages; hours of sleep; secondhand smoke exposure; and physical activity engagement) and risk factors (BMI, reported diagnoses of diabetes, high blood pressure, and heart disease). Results: Compared with the general population, UOJ women were less likely to consume 5 fruits and vegetables a day (12.7% vs. 24.3%, p < .001); more likely to consume ≥ 5 cups of sweetened beverages a week (18.6% vs. 12.6%, p = .019), and more likely to sleep <7 hours a night (62.0% vs. 50.6%, p = .002). UOJ women also reported less secondhand smoke exposure (7.2% vs. 51.4%, p < .001) and higher rates of physical activity recommendation adherence (60.1% vs. 25.6%, p < .0001) than the general population. Obesity was higher in UOJ women (24.3% vs. 16.1%, p < .0001). Increased parity and reduced moderate physical activity were associated with increased BMI. Increased parity was also associated with reduced sleep. Grand multiparous women (a 68% prevalence rate), in particular, were more likely to be overweight or obese than women with less than 5 children. Conclusions: This study suggests that health promotion interventions in this population target healthy weight maintenance, nutrition, and physical activity.

摘要

目标：来自社会经济地位低、文化孤立的人群中的女性患心血管疾病 (CVD) 的风险增加。以色列的极端正统犹太教 (UOJ) 社区是一个快速增长的低社会经济地位、与世隔绝的文化少数民族，在健康方面存在许多障碍。目前的横断面研究调查了 UOJ 女性样本中与 CVD 相关的健康行为和危险因素，并将样本特征与一般人群进行了比较。设计：由 239 名 UOJ 女性组成的整群随机样本完成的自我管理问卷包括人口统计学、与 CVD 相关的健康行为（食用水果、蔬菜和甜饮料；睡眠时间；二手烟暴露；和身体活动参与）和风险因素（ BMI，报告的糖尿病、高血压和心脏病诊断）。结果：与普通人群相比，UOJ 女性每天食用 5 种水果和蔬菜的可能性较低（12.7% 对 24.3%，p  < .001）；每周饮用 ≥ 5 杯含糖饮料的可能性更大（18.6% 对 12.6%，p  = .019），并且每晚睡眠时间少于 7 小时的可能性更大（62.0% 对 50.6%，p = .002)。与一般人群相比，UOJ 女性的二手烟暴露更少（7.2% 对 51.4%，p  < .001）和身体活动建议的坚持率更高（60.1% 对 25.6%，p  < .0001）。UOJ 女性的肥胖率更高（24.3% 对 16.1%，p  < .0001）。产次增加和中等体力活动减少与 BMI 增加有关。胎次增加也与睡眠减少有关。尤其是经产妇（68% 的患病率），比生育少于 5 个孩子的女性更容易超重或肥胖。结论：本研究表明，该人群的健康促进干预措施针对健康的体重维持、营养和身体活动。