北京市18～65岁居民血脂异常的知晓率、治疗率和控制率及知晓率影响因素分析  

The awareness rate,treatment rate,control rate of dyslipidemia and the influencing factors in the residents (18-65 years old) of Beijing

作　　者：谢瑾[1] 董忠[1] 李航[1] 马爱娟[1] 方凯[1] 董晶[1] 谢晨[1] XIE Jin DONG Zhong LI Hang MA Ai-juan FANG Kai DONG Jing XIE Chen(Beijing Centers for Diseases Control and Prevention, Beijing Center for Preventive Medicine Research, Beijing 100013, China)

机构地区：[1]北京市疾病预防控制中心慢性病防治所北京市预防医学研究中心,北京100013

出　　处：《中国慢性病预防与控制》2017年第7期489-493,共5页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：目的了解北京市18~65岁居民血脂异常的知晓率、治疗率和控制率以及知晓率的相关影响因素,为血脂异常防治工作提供科学依据。方法于2014年9月-11月采用多阶段分层随机整群抽样方法,抽取18 809名北京市18~65岁常住居民进行问卷调查、体格检查及实验室检测。用SPSS 19.0统计软件进行χ~2检验、趋势χ~2检验,知晓率的影响因素分析采用多因素logistic回归分析。结果 18 809名调查者中共有8 041例血脂异常患者,血脂异常的患病率为42.8%,血脂异常的知晓率为19.3%,其中男性为16.4%,女性为23.5%;血脂异常的治疗率为6.3%,其中男性为4.9%,女性为8.2%;血脂异常的控制率为8.0%,其中男性为5.3%,女性为12.0%。在知晓血脂异常的调查对象中,血脂异常的治疗率为32.4%,血脂异常的控制率为41.6%。多因素logistic回归分析结果显示,年龄、女性(OR=2.365,95%CI:2.009~2.783)、文化程度、以前吸现在不吸烟者(OR=1.618,95%CI:1.217~2.150)、从不饮酒者(OR=0.547,95%CI:0.432~0.693)、肥胖(OR=1.493,95%CI:1.262~1.765)、高血压患病(OR=1.721,95%CI:1.513~1.957)和糖尿病患病(OR=1.845,95%CI:1.576~2.160)是血脂异常知晓率的影响因素。结论应结合血脂异常知晓率的相关影响因素,开展有针对性的健康教育和行为干预,通过有效提高血脂异常的知晓率进而提升治疗率和控制率。Objective To understand the awareness rate, treatment rate and control rate of dyslipidemia and influencing factors in the residents（18-65 years old） of Beijing, and to provide evidence for the prevention and treatment of dyslipidemia among the residents in Beijing. Methods During September to November of 2014, the multi-stage stratified cluster sampling method was used to select 18 809 residents from Beijing as the subjects. the investigation was performed with questionnaire, physical examination and blood test. Chi-square test and trend Chi-square test was used to analyze the data with SPSS 19.0, and the multivariate logistic regression was used to analyze the influencing factors of awareness rate. Results A total of 8 041 patients with dyslipidemia were enrolled in 18 809 investigators and the dyslipidemia morbidity was 42.8%. The awareness rate of dyslipidemia among the dyslipidemia subjects in Beijing was 19.3%（male：16.4%, female：23.5%）; the treatment rate among the dyslipidemia subjects was 6.3%（male： 4.9%, female： 8.2%）; the control rate among the dyslipidemia subjects was 8.0%（male：5.3%, female：12.0%）. The treatment rate and control rate among the dyslipidemia subjects with awareness were 32.4% and 41.6%. Multivariate logistic regression analysis showed that age, female（OR=2.365, 95%CI： 2.009-2.783）, education level, smoking quitters（OR=1.618, 95%CI： 1.217-2.150）, non-drinkers（OR=0.547, 95%CI： 0.432-0.693）, obesity（OR=1.493, 95%CI： 1.262-1.765）,hypertension（OR=1.721, 95% CI： 1.513-1.957）, diabetes（OR=1.845, 95% CI： 1.576-2.160） were the risk factors for the awareness rate of dyslipidemia in Beijing. Conclusion According to the risk factors for the awareness rate of dyslipidemia, the measures of health education and behavior intervention should be taken; the treatment rate and control rate among the dyslipidemia subjects should be improved by the increased dyslipidemia awareness rate.

关 键 词：血脂异常 知晓率 治疗率 控制率 影响因素 

分 类 号：R181.3[医药卫生—流行病学]