吉林省部分农村地区中老年人心血管疾病危险因素聚集分析  

Risk factors for cardiovascular disease among the adults in rural areas of Jilin province

作　　者：叶俊森 褚运松 赵桐荫 赵惠子[1] 刘志明[1] 赵婕潼[1] 李忠民[1] 

机构地区：[1]吉林大学公共卫生学院,吉林长春130021

出　　处：《中国预防医学杂志》2017年第4期244-248,共5页Chinese Preventive Medicine

基　　金：基金项目:ICDC国际协作前瞻性队列研究(3B6058583427)

摘　　要：目的了解吉林省部分农村地区中老年人的心血管疾病的危险因素及聚集情况,为该地区心脑血管疾病的防治提供科学依据。方法采用整群随机抽样方法,抽取2009-2011年吉林省40~79岁中老年1 291例,进行问卷调查、体格检查、实验室检查。调查内容包括姓名、性别、民族、年龄、疾病史、家族史、吸烟饮酒史等。采用SPSS 19.0软件进行数据分析,计量资料采用t检验,计数资料采用χ~2检验,利用logistic回归模型进行危险因素聚集分析,P<0.05为差异有统计学意义。结果中老年人吸烟、重度饮酒、超重/肥胖、高血压、血脂异常和糖尿病的暴露率分别为39.66%、15.10%、38.50%、36.33%、34.24%、7.05%。朝鲜族老人重度饮酒、高血压、血脂异常和糖尿病的暴露率均高于汉族,差异均有统计学意义(P<0.05或P<0.01)。不同性别之间,吸烟、重度饮酒和超重/肥胖暴露差异均有统计学意义(P<0.05或P<0.01)。不同年龄组间,超重/肥胖、高血压、糖尿病的暴露率差异均有统计学意义(P<0.05)。仅有12.32%的研究对象不暴露任何危险因素,暴露1、2、3种危险因素的对象分别有25.56%、27.73%、34.39%。多因素logistic回归分析显示,朝鲜族人群至少暴露1、2、3种危险因素是汉族的1.297、1.368、1.477倍;男性至少暴露1、2、3种危险因素是女性的8.553、11.550、19.381倍。结论吉林省部分农村地区的中老年人心血管疾病危险因素及聚集暴露率较高,特别是高龄的朝鲜族男性,要重点关注和干预。Objective To discuss the risk factors for cardiovascular disease（CVD）among residents of middleaged and the elderly in the rural areas of Jilin province,and to provide scientific evidence for disease control.Methods A total of 1 291 adults aged 40-79 years were randomly selected by cluster sampling method in rural areas of Jilin province from 2009 to 2011,aquestionnaire survey as well as physical and blood examination were conducted.Logistic regression model was used for the analysis of risk factors of CVD. Results The prevalence of smoking,heavy drinking,overweight/obesity,hypertension lobesity,dyslipidemia and diabetes were 39.66%,15.10%,38.50%,36.33%,34.24% and 7.05%,respectively.The prevalence of heavy drinking,hypertension,dyslipidemia and diabetes were all higher among residents of Korean nationality than those of Han nationality（P0.05 or P0.01）.The percentages of smoking,heavy drinking and overweight/obesity were higher in males,and the prevalences of overweight/obesity,hypertension,diabetes were different among age groups（P0.05）.Only 12.32% of the subjects surveyed were free of any risk factors.There were 25.56%,27.73%,34.39% of the subjects surveyed were exposed to one,two or three risk factors.Logistic regression analysis showed that,compared with residents of Hans,the odds ratios for one,two or three risk factors clustering in Koreans were 1.297,1.368 and 1.477 times higher,and compared with females,they were 8.553,11.550 and 19.381 times higher in male residents. Conclusions The prevalence of major cardiovascular disease risk factors and their clustering are high in middle aged residents and the elderly in rural areas of Jilin province.More attention and proper intervention should be given specifically to the old Korean males.

关 键 词：中老年人 心血管疾病 危险因素 聚集 

分 类 号：R54[医药卫生—心血管疾病]