上海市社区退休人群社会经济地位与心血管疾病患病关系研究  

Relationship between socioeconomic status and the prevalence of cardiovascular disease among retired residents living in a community,Shanghai

作　　者：谢春艳[1] 秦晨曦[1] 王耕[2] 余灿清[1] 王瑾 戴立强 吕筠[1] 高文静[1] 王胜锋[1] 詹思延[1] 胡永华[1] 曹卫华[1] 李立明[1,5] 

机构地区：[1]北京大学公共卫生学院流行病与卫生统计学系,100191 [2]北京市疾病预防控制中心 [3]上海市黄浦区半淞园社区医院 [4]上海市黄浦区南京东路社区医院 [5]中国医学科学院,100191

出　　处：《中华流行病学杂志》2014年第5期500-504,共5页Chinese Journal of Epidemiology

基　　金：国家“十一五”科技支撑计划（2006BA101A01）

摘　　要：目的：探讨退休人群的社会经济地位与心血管疾病患病的关系。方法选取上海市9943名≥50岁已退休社区居民的调查数据，采用单因素和多因素统计分析方法，分别描述文化程度、婚姻状况、家庭年收入与高血压、冠心病、脑卒中患病的相关性，并构建社会经济地位复合指标，探讨不同社会经济地位社区人群的心血管疾病患病风险。结果调整年龄后，社会经济地位对研究对象心血管疾病患病存在影响。文化程度较低女性（高中、初中、小学及以下）患高血压的风险增大，OR值分别为1.08（95%CI：0.89～1.30）、1.26（95%CI：1.05～1.51）、1.34（95%CI：1.08～1.65），而男性的OR值分别为0.72（95%CI：0.59～0.87）、0.78（95%CI：0.64～0.94）、0.70（95%CI：0.52～0.92）。研究对象家庭年收入越高，心血管疾病患病风险越大。男性研究对象心血管疾病患病风险随着社会经济地位的降低而减小。相对于高社会经济地位，中及低社会经济地位男性研究对象患高血压的风险OR值分别为0.72（95%CI：0.61～0.84）、0.70（95%CI：0.57～0.87），在女性中则无显著变化。未发现研究对象的婚姻状况与心血管疾病患病之间存在显著关系。结论不同社会经济地位人群心血管疾病患病的风险具有差异，应开展有针对性的早期干预。Objective To explore the relationship between socioeconomic status and the risk factors of cardiovascular diseases in retirees from a community in Shanghai. Methods Observational study involved 9 943 retirees aged 50 and over in Shanghai. Both single factor and multi-factor analyses methods were used to describe the correlation between factors as：educational level,marital status,annual household income and risk of hypertension,coronary heart disease,stroke etc. A new defined compound index was used to assess the relevance of socioeconomic status on the risk of cardiovascular diseases,based on logistic regression model. Results After adjusted for age,the risk of cardiovascular diseases in these retirees was influenced by socioeconomic status. In general, opponent correlations in education levels and prevalence of hypertension were found between female and male. Compared with those having received college or higher education,the risk of hypertension increased in females when the education level declined,with OR as 1.08（95%CI：0.89-1.30）. For＆nbsp;those having had senior high school junior high school or elementary education,the risks of hypertension were 1.26（95%CI：1.05-1.51）,1.34（95%CI：1.08-1.65）,0.72（95%CI：0.59-0.87）,0.78 （95%CI：0.64-0.94）,and 0.70（95%CI：0.52-0.92）for males,respectively. The risk of cardiovascular diseases increased with annual household income. Compared with high level of socioeconomic status, lower socioeconomic status might decline the risk of cardiovascular diseases in males by approximately 30%,with OR for medium being 0.72（95%CI：0.61-0.84）and for lower ones it was 0.70（95%CI：0.57-0.87）. However,similar correlations were not found in females. No significant relationship was found between marital status and the prevalence of cardiovascular diseases in this study. Conclusion The risks of cardiovascular diseases varied with different socioeconomic status, indicating that tailored interventions should be conducted in different socioeconomic grou

关 键 词：心血管疾病 社会经济地位 退休人群 

分 类 号：R54[医药卫生—心血管疾病]