膳食模式、社会经济地位对心血管病10年风险的联合影响  

Joint association of dietary pattern and socioeconomic status with the 10-year risk of cardiovascular disease

作　　者：陈阳阳 那晓娜 马晓川 花语蒙 朱珠 周桂荣[2] 刘爱萍[1] CHEN Yang-yang;NA Xiao-na;MA Xiao-chuan;HUA Yu-meng;ZHU Zhu;ZHOU Gui-rong;LIU Ai-ping(Department of Social Medicine and Health Education,School of Public Health,Peking University,Beijing 100191,China;Mentougou District of Beijing Center for Disease Control and Prevention,Beijing 102300,China)

机构地区：[1]北京大学公共卫生学院社会医学与健康教育学系,北京100191 [2]北京市门头沟区疾病预防控制中心,北京102300

出　　处：《中华疾病控制杂志》2021年第5期552-558,588,共8页Chinese Journal of Disease Control & Prevention

基　　金：北京市门头沟区疾病预防控制中心资助课题(2016年)。

摘　　要：目的探讨膳食模式与社会经济地位对心血管病10年风险的联合影响,为心血管病的防控提供参考。方法采用多阶段抽样方法,问卷调查2431例北京市门头沟区居民。单因素分析探索膳食模式、社会经济地位、心血管病10年风险之间的相关关系,多因素Logistic回归分析模型分析前两者对心血管病10年风险的联合影响。结果北京市门头沟区常住居民心血管病10年中高风险比例为38.46%。高盐饮酒膳食模式(48.93%)和低社会经济地位(58.47%)的心血管病10年中高风险比例较高(均有P<0.001)。调整因素后,以均衡膳食且高社会经济地位为参照,高盐饮酒膳食且低社会经济地位人群的心血管病10年中高风险比例最高(OR=6.841,95%CI:4.518~10.540,P<0.001)。结论合理膳食需要联合考虑不同群体的社会经济地位,结合实际鼓励科学营养,以促进真实世界的心血管病防控。Objective To investigate the joint association of dietary pattern and socioeconomic status with the 10-year risk of cardiovascular disease,and to provide guidance for prevention and control of cardiovascular disease.Methods A questionnaire survey was conducted among 2431 residents in the Mentougou District of Beijing,in which multi-stage sampling methods were used.Univariate analysis was performed to explore the relationships between dietary patterns,socioeconomic status,and the 10-year risk of cardiovascular disease.Furthermore,multivariable logistic regression was used to assess the joint association of both dietary pattern and socioeconomic status with the 10-year risk of cardiovascular disease.Results The proportion of the 10-year medium-to-high risk of cardiovascular disease among permanent residents in the Mentougou District of Beijing was 38.46%.People with high-salt-and-alcohol dietary pattern(48.93%)and low socioeconomic status(58.47%)had a higher proportion of 10-year medium-to-high risk of cardiovascular disease(all P<0.001).After adjusting confounding factors,in comparison to people with both balanced dietary pattern and high socioeconomic status,the proportion of the 10-year medium-to-high risk of cardiovascular disease of people with both high-salt-and-alcohol dietary pattern and low socioeconomic status was highest(OR=6.841,95%CI:4.518~10.540,P<0.001).Conclusions Balanced diet promotion should consider socioeconomic status.We ought to encourage a balanced diet combined with actual conditions of different socioeconomic status to prevent and control cardiovascular disease in the real world.

关 键 词：心血管病10年风险 膳食模式 社会经济地位 

分 类 号：R181.1[医药卫生—流行病学]