“心血管病早期筛查试点区”不同性别心血管病高危人群危险因素及其聚集情况分析  

Studying on The Risk Factors and Aggregation of High-Risk Population with Cardiovascular Diseases in Different Genders in Pilot Area of Screening for Cardiovascular Diseases

作　　者：高彬[1] 钱平平 赵安平[1] 但丽琼 张亮[2] 张翔[2] 

机构地区：[1]湖北省赤壁市疾病预防控制中心,湖北赤壁437300 [2]华中科技大学同济医学院医药卫生管理学院,湖北省人文社科重点研究基地农村健康服务研究中心

出　　处：《中国卫生事业管理》2019年第12期956-960,共5页Chinese Health Service Management

基　　金：国家自然科学基金项目“基于服务连续性的农村卫生服务网络互动机制模型研究”(71371091);国家自然科学基金重点项目资助“健康中国背景下基层卫生服务能力提升研究:理论与机制”(71734003)

摘　　要：目的:分析心血管病早期筛查试点区—湖北省赤壁市不同性别心血管病高危人群的影响因素及其聚集情况,为有效防止心血管疾病提供科学依据。方法:对赤壁市35〜75岁13908名常住居民进行调查,以筛查出的2951名心血管病高危人群为调查对象,运用描述性统计分析、卡方检验和二元Logistic回归对结果进行分析。结果:总体上看,湖北省赤壁市男性心血管病高危人群检出率(24.47%)高于女性(19.37%)。单因素分析结果显示:不同性别高危人群在人口学特征、疾病史及行为因素、健康结果测量方面均存在显著差异(尸<0.05);四种高危类型检出率及聚集情况分析结果显示:不同性别高危人群在在心血管病病史、血脂异常、WHO风险评估的患病风险彡三种高危类型上有显著差异(尸<0.05),在四种高危类型聚集分布也存在显著差异;多因素回归分析结果显示:有心脑血管病史、超重、抽烟、打鼾的男性比女性患心血管疾病的几率更高。结论:赤壁市男性心血管病高危人群比例高于女性。男性人群中应重点关注40~49岁、70〜75岁,职业为工人、农民、行政人员以及未婚的人群,女性则应侧重关注承担家务工作,T C值、HDL值、LDL值、TG值、GLU值、SBP值平均值等较高的人群。Objective To analyze the influencing factors and aggregation of high - risk groups of cardiovascular diseases of different genders in pilot area for early screening of cardiovascular diseases, and provide references for prevention of cardiovascular diseases. Method 13908 cases of residents were surveyed, in which 2951 cases of high - risk population of cardiovascular diseases were screened out and analyzed by descriptive statistical analysis, chi - square test and binary logistic regression. Results The overall detection rate of male high — risk population of cardiovascular diseases was higher than that of female. Univariate analysis showed that there had significant differences in demographic characteristics, disease history, behavioral factors and health outcomes between high - risk groups with different genders. The detection rate and aggregation of four high - risk groups showed that the risks of cardiovascular disease, dyslipidemia and high - risk groups with more than or equal to three kinds of high risk from WHO risk assessment were significantly different in different genders. There had a significant difference in the aggregation distribution of the four high - risk types. Multivariate regression analysis showed that the male group with history of cardiovascular and cerebrovascular diseases, overweight, smoking and snoring was more likely to suffer from cardiovascular diseases than female.Conclusion The proportion of high - risk population with cardiovascular diseases was higher in male than that in female. The high risk factors of male population were aged from 40 to 49 and from 70 to 75, occupations of workers, peasants and administrators,and unmarried people. While the high risk factors of female population were undertaking housework, with higher value of TC,HDL, LDL, TG, GLU and average SBP.

关 键 词：心血管疾病 高危人群 危险因素 

分 类 号：R54[医药卫生—心血管疾病]