河南省禹州市农村中老年人群血脂异常患病现状及其影响因素  

Analysis of Prevalence Status and Influencing Factors of Dyslipidemia Among Middle-Aged and Old People in Rural Area of Henan Province

作　　者：侯宜坦 李玉姣[1] 田翔宇[2] 杨驰[3] 丁小珊[3] 刘瑞华[1] 张洪磊[1] 王重建[1] 

机构地区：[1]郑州大学公共卫生学院,郑州450001 [2]郑州大学第一附属医院骨科,郑州450051 [3]武汉大学政治与公共管理学院,武汉430072

出　　处：《医学与社会》2016年第12期1-3,共3页Medicine and Society

基　　金：国家自然科学基金资助项目;编号为81573243;U1304821;U1204823;河南省高校科技创新人才支持计划项目;编号为14HASTIT035;河南省医学科技攻关计划项目;编号为201401002;201403002;郑州大学大学生创新创业训练计划项目;编号为2012xjxm307

摘　　要：目的:了解河南省禹州市农村中老年人群血脂异常流行现状及影响因素。方法:采用整群抽样的方法,对河南省禹州市农村地区1526名35-74岁常住居民进行问卷调查、体格测量和实验室检测;采用logistic回归分析探讨血脂异常的影响因素。结果:该农村地区中老年人群高胆固醇血症、高甘油三酯血症、低高密度脂蛋白胆固醇血症和血脂异常的粗患病率分别为4.19%、21.61%、40.63%和50.72%,年龄标化患病率分别为3.59%、20.71%、37.88%和48.21。男性高胆固醇血症、高甘油三酯血症、低高密度脂蛋白胆固醇血症和血脂异常的患病率(4.28%、22.14%、49.81%和59.32%)均高于女性(4.20%、21.33%、35.80%和46.20%)。多因素logistic回归分析显示,吸烟、饮酒、血脂异常家族史、体力活动不足、空腹血糖升高和中心性肥胖是血脂异常的主要危险因素。结论:河南省农村中老年人群血脂异常患病率较高,且男性高于女性。改变不良生活行为方式、控制腰围和血糖水平可有利于预防血脂异常的发生。Objective： To explore the prevalence status and influencing factors of dyslipidemia among middle aged and old people in rural area of Henan province. Methods： A total of 1526 individuals between 35 and 74 years old were recruited by cluster sampling from a Henan rural community, and the data were collected by questionnaire, physical examination and laboratory examination. The influencing factors of dyslipidemia were evaluated by logistic regression. Results： The crude prevalence rate of hypercholesterolemia, hypertriglyceridemia , low high-density lipopro- rein cholesterol and dyslipidemia were 4.19%, 21.61%, 40.63% and 50.72% respectively, the age standardized prevalence rate were 3.59%, 20. 71%, 37.88% and 48.21% respectively. The prevalence rate of males （4.28%, 22.14%, 49.81% and 59.32% respectively） were higher than that of females（4.20%, 21.33%, 35.80% and 46.20% respectively）. Logistic regression analysis showed that smoking, drinking, family history of hyperlipidemia, lack of physical activity, high fast blood glucose and central obesity were significantly positively associated with dyslipidemia. Conclusion： The higher prevalence rate of dyslipidemia was found in Henan rural community, and the prevalence rate of male was higher than that of female. It was suggested that changing undesirable lifestyle and behavior, controling waist circumference and fasting blood glucose levels within normal ranges could obtained benefits to prevent the occurrence of dyslipidemia.

关 键 词：患病率 血脂异常 中老年人 影响因素 

分 类 号：R19-0[医药卫生—卫生事业管理]