湖南省2015年成人血脂异常流行水平及影响因素分析  

Prevalence level and influencing factors of dyslipidemia in adult residents of Hunan Province in 2015

作　　者：刘琼 金东辉[2] 刘慧琳[2] 殷蕾 谢羡 谢红卫[1] LIU Qiong;JIN Dong--hui;LIU Hui-lin;YIN Lei;XIE Xian;XIE Hong-wei(The Public Health Shool,Nanhua Universily,Henyang,Hunan Province 421001,China)

机构地区：[1]南华大学公共卫生学院,湖南省衡阳421001 [2]湖南省疾病预防控制中心慢病科

出　　处：《中国慢性病预防与控制》2021年第4期278-281,共4页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：目的了解湖南省不同特征成人血脂异常的流行情况及其影响因素,为开展血脂异常防治工作提供科学依据。方法于2015年7—11月,采用多阶段分层整群随机抽样方法在湖南省13个县(区)抽取8 417名18岁及以上居民进行问卷调查、体格检查及实验室检测。采用SAS 9.4软件进行基于复杂抽样设计Rao-Scottχ^(2)检验比较湖南省不同特征成人血脂异常患病率,采用基于复杂抽样设计的多因素logistic回归模型分析血脂异常影响因素。结果最终7 366人纳入分析。湖南省成人血脂异常加权估计患病率为35.91%。多因素logistic回归分析结果显示,女性(OR=0.64,95%CI:0.36~0.76)与湖南省成人血脂异常低风险相关,超重和肥胖(超重OR=2.19,95%CI:1.73~2.77;肥胖OR=2.60,95%CI:1.82~3.71)、中心性肥胖(OR=1.69,95%CI:1.34~2.14)、吸烟(OR=1.30,95%CI:1.01~1.67)、高血压(OR=1.36,95%CI:1.16~1.60)、糖尿病(OR=1.77,95%CI:1.27~2.48)和高尿酸血症(OR=1.79,95%CI:1.47~2.17)与湖南省成人血脂异常高风险相关,均有统计学意义(P<0.05)。结论湖南省成人血脂异常患病率较高,应重点针对血脂异常的相关影响因素进行预防与控制。Objective To investigate the prevalence level and influencing factors of dyslipidemia in adult residents with different characteristics of Hunan Province,and to provide the scientific basis for prevention and treatment of dyslipidemia. Methods From July to November 2015,the multi-stage stratified cluster random sampling method was used to select 8 417 residents (≥18 years old) from 13 counties(districts) of Hunan Province as the subjects. The investigation was performed with questionnaire,physical examination and laboratory test. Rao-Scott χ^(2) test based on complex sampling design was used to analyze the prevalence level of dyslipidemia in adult residents with different characteristics of Hunan Province,multivariate logistic regression model based on complex sampling design was used to analyze the influencing factors of dyslipidemia. The used software was SAS 9.4. Results A total of 7 366 residents were included in the analysis. The morbidity of dyslipidemia with weighted estimation in adult residents of Hunan Province was 35.91%. The multivariate logistic regression analysis showed that female(OR=0.64,95%CI:0.36~0.76) was associated with low risk of dyslipidemia in adult residents of Hunan Province,overweight(OR=2.19,95%CI:1.73~2.77) and obesity(OR=2.60,95%CI:1.82~3.71),central obesity(OR=1.69,95%CI:1.34~2.14),smoking(OR=1.30,95%CI:1.01~1.67),hypertension(OR=1.36,95%CI:1.16~1.60),diabetes(OR=1.77,95%CI:1.27~2.48) and hyperuricemia(OR=1.79,95%CI:1.47 ~2.17) were associated with high risk of dyslipidemia in adult residents of Hunan Province,P <0.05. Conclusion The morbidity of dyslipidemia in adults of Hunan Province is higher,so the influencing factors related to dyslipidemia should be prevented and controlled.

关 键 词：血脂异常 流行水平 影响因素 

分 类 号：R589.2[医药卫生—内分泌]