辽宁省城市40岁及以上居民血脂异常流行现况及其危险因素分析  

The prevalence and risk factors of dyslipidemia among residents aged 40 and over in cities,Liaoning

作　　者：井丽 田园梦 林敏 杜志 孙群[4] 石雷[5] 孙继旭 高政南[7] 徐冰[8] 董桂华[9] 杨佐森 黄德生[10] 邢立莹[1] JIN Li;TIAN Yuan-meng;LIN Min;DU Zhi;SUN Qun;SHI Lei;SUN Ji-xu;GAO Zheng-nan;XU Bing;DONG Gui-hua;YANG Zuo-sen;HUANG De-sheng;XIN Li-ying(Department of Chronic and Non-communicable Disease Control and Prevention,Liaoning Provincial Center for Disease Control and Prevention,Shenyang,Liaoning 110005,China)

机构地区：[1]辽宁省疾病预防控制中心,辽宁沈阳110005 [2]辽宁省本溪市中心医院心内科 [3]中国医科大学附属第一医院 [4]辽宁省朝阳市疾病预防控制中心 [5]辽宁省辽阳市疾病预防控制中心 [6]辽宁省丹东市疾病预防控制中心 [7]辽宁省大连市中心医院 [8]辽宁省沈阳市第一人民医院 [9]辽宁省沈阳市疾病预防控制中心 [10]中国医科大学

出　　处：《现代预防医学》2021年第15期2696-2699,2725,共5页Modern Preventive Medicine

基　　金：辽宁省“百千万人才工程”资助项目(辽人社[2018]47号);辽宁省重点研发项目(2019JH2/10300001)。

摘　　要：目的了解辽宁省城市≥40岁居民血脂异常的患病、知晓、治疗和控制现况,分析患病危险因素,为血脂异常的精准防控提供理论依据。方法 2018年3月至2019年2月,采用多阶段分层整群随机抽样的方法对辽宁省城市5 424例≥40岁的常住居民进行横断面研究,调查血脂异常流行现况,利用logistic回归分析相关危险因素。结果辽宁省城市≥40岁居民血脂异常的粗患病率为49.53%,男性高于女性(51.64%vs 48.42%,P<0.05)。标化患病率为47.86%,男性和女性分别为56.52%、43.49%。50~59岁(OR=1.239)、家庭年收入低(10 000~19 999元,OR=1.366;5 000~9 999元,OR=1.514)、现饮酒(OR=1.174)、高血压(OR=1.349)、糖尿病(OR=1.717)、超重或肥胖(OR=1.527)是血脂异常的危险因素。血脂异常的知晓率、治疗率和控制率分别为14.88%、5.93%和2.20%。结论辽宁省城市≥40岁居民血脂异常患病率较高,但知晓、治疗和控制水平较低,亟待针对主要患病危险因素开展综合防控。Objective To investigate the prevalence,awareness,treatment and control of dyslipidemia in urban residents≥40 years old in Liaoning Province,and to analyze the risk factors of the disease,so asto provide a theoretical basis for the precise prevention and control of dyslipidemia.Methods From March 2018 to February 2019,the multi-stage stratified cluster random sampling method was used to conduct a cross-sectional survey of 5424 permanent residents aged 40 or older in urban areas of Liaoning Province.The prevalence of dyslipidemia was investigated and logistic regression was used to analyze related risk factors.Results The prevalence of dyslipidemia in urban areas of Liaoning Province was 49.53%,and that of men was higher than women(51.64%vs 48.42%,P<0.05).The standardized prevalence rate was 47.86%,56.52%for men and 43.49%for women.Multivariate logistic regression analysis showed that 50-59 years old(OR=1.239),low family income(10000-19999 yuan,OR=1.366;5000-9999 yuan,OR=1.514),current drinking(OR=1.174),hypertension(OR=1.349),diabetes(OR=1.717),overweight or obesity(OR=1.527)were risk factors for dyslipidemia.The awareness rate,treatment rate and control rate of dyslipidemia were 14.88%,5.93%and 2.20%,respectively.Conclusion The prevalence of dyslipidemia is relatively high among residents≥40 years old in urban areas of Liaoning Province,whilethe level of awareness,treatment and control is low.It is urgent to carry out comprehensive prevention and control of major risk factors for the disease.

关 键 词：血脂异常 横断面研究 危险因素 

分 类 号：R589.2[医药卫生—内分泌]