重庆市两主城新区心血管病高危人群流行特征及其影响因素分析

doi:10.12183/j.scjpm.2022.1305

摘要/Abstract

摘要： 目的掌握重庆市2个主城新区心血管病高危人群分布特征及其影响因素,为该地区制定心血管病防治措施提供参考依据。方法 2019年9月至2020年6月采用多阶段分层整群抽样方法,在涪陵区和长寿区抽取13 744名35~75岁常住居民进行体格检查和空腹指尖血进行快速血糖、血脂检测,采用统一的问卷进行生活方式、既往史、家族史等信息的采集。采用χ²检验、多因素非条件Logistic回归模型对高危人群检出情况的相关因素进行分析。结果涪陵区和长寿区心血管病高危人群检出率为23.15%。男性检出率为25.11%,高于女性检出率的22.21%,差异有统计学意义（P<0.01）。检出率随着年龄增大而升高（P<0.01）。男性（OR=1.23）、家务人员（OR=1.17）、学历越高（OR=1.15、1.60）、吸烟（OR=1.23）、高血压（OR=7.37）、血脂异常（OR=9.91）、糖尿病患者（OR=1.28）、肥胖（OR=1.17）人群的心血管病检出风险较高,年龄较小（OR=0.66、0.53、0.56、0.66）、退休人员（OR=0.80）的心血管病检出风险较低。结论重庆市2个两主城新区心血管病高危人群检出率较高,性别、年龄、职业、学历、吸烟、饮酒、肥胖、高血压、糖尿病、血脂异常是涪陵区和长寿区心血管病高危人群检出的影响因素。

关键词: 心血管疾病, 高危人群, 影响因素

Abstract: Objective To understand the distribution characteristics and influencing factors of the high-risk population of cardiovascular disease in two new districts of Chongqing, and provide a reference for the formulation of cardiovascular disease prevention and treatment measures in the region. Methods From September 2019 to June 2020, 13 744 permanent residents aged 35-75 years old were selected from Fuling District and Changshou District by multi-stage stratified cluster sampling method for physical examination, and fasting fingertip blood glucose and blood lipid detection. The unified questionnaires were used to collect their lifestyle, history, family history, and other information. Chi-square test and multivariate non-conditional Logistic regression were used to analyze the related factors of the high-risk population of cardiovascular disease. Results The detection rate of the high-risk population of cardiovascular disease in Fuling District and Changshou District was 23.15%. The detection rate of males was higher than females, and the difference was statistically significant (25.11% vs. 22.21%, P<0.01). The detection rate increased with age (P<0.05). Males (OR=1.23), domestic workers (OR=1.17), people with higher education (OR=1.15, 1.60), smokers (OR=1.23), patients with hypertension (OR=7.37), people with dyslipidemia (OR=9.91), patients with diabetes (OR=1.28), obese people (OR=1.17) had a higher risk of cardiovascular disease, and younger people (OR=0.66, 0.53, 0.56, 0.66) and retirees (OR=0.80) had a lower risk of cardiovascular disease. Conclusions The detection rate of the high-risk population of cardiovascular disease in the two new districts of Chongqing is high. Gender, age, occupation, educational background, smoking, drinking, obesity, hypertension, diabetes, and dyslipidemia are the influencing factors for the detection of high-risk population of cardiovascular disease in Fuling District and Changshou District.

Key words: Cardiovascular disease, High-risk population, Influencing factor

中图分类号:

R195.4

陈晓明, 周义芬, 王杨凤, 代雪梅, 王琪, 王乐琴, 马周俊. 重庆市两主城新区心血管病高危人群流行特征及其影响因素分析[J]. 华南预防医学, 2022, 48(11): 1305-1309.

CHEN Xiao-ming, ZHOU Yi-fen, WANG Yang-feng, DAI Xue-mei, WANG Qi, WANG Le-qin, MA Zhou-jun. Epidemiological characteristics and influencing factors of high-risk population of cardiovascular disease in two new districts of Chongqing[J]. South China Journal of Preventive Medicine, 2022, 48(11): 1305-1309.

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