江西省18岁及以上常住居民心血管病发病风险评估  

Cardiovascular diseases risk evaluation in permanent residents (≥18 years old) in Jiangxi Province

作　　者：陈轶英[1] 朱丽萍[1] 颜玮[1] 刘杰[1] 徐艳[1] 吉路[1] CHEN Yi-ying;ZHU Li-ping;YAN Wei;LIU Jie;XU Yan;JI Lu(Jiangxi Provincial Center for Disease Control and Prevention,Nanchang,Jiangxi Province 330029,China)

机构地区：[1]江西省疾病预防控制中心慢性非传染性疾病防制所,江西省南昌330029

出　　处：《中国慢性病预防与控制》2021年第9期654-659,共6页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：中央财政转移支付地方项目(赣财社指[2013]165号,财社[2017]198号);江西省卫生厅科技计划(20143183);江西省自然科学基金资助项目(20202BABL216044)。

摘　　要：目的通过分析全省横断面调查数据,了解江西省18岁及以上常住居民未来10年心血管病总体风险的动态变化情况,为心血管病防控工作提供理论依据。方法对2013年、2018年江西省慢性病及其危险因素监测的所有调查对象应用问卷收集其一般人口学特征、心血管病相关危险因素情况,开展身体测量及实验室检查,对结果进行心血管病危险因素分析比较,并根据《中国心血管病预防指南(2017)》的心血管病总体风险评估方案及流程对该人群未来10年心血管病总体发病风险进行评估比较。采用SAS 9.3统计软件进行基于复杂抽样设计矫正的Rao-Scottχ2检验和复杂抽样设计的logistic模型进行检验。结果对2013年5 845名、2018年5 669名18岁及以上调查对象数据经基于设计的加权分析显示,江西省18岁及以上人群心血管病总体发病风险≥10%(高危)者比例2018年(16.7%,95%CI:14.6%~18.8%)明显高于2013年(11.5%,95%CI:8.3%~14.6%),差异有统计学意义(P<0.05),其中男性,城市,农村,25~<35、35~<45和55~<65岁年龄组人群,文盲或半文盲和初中文化程度人群,收入回答不清楚人群的发病风险高危比例均明显高于2013年,差异均有统计学意义(P<0.05)。2018年发病风险处于5%~9%(中危)者比例为8.9%(95%CI:6.5%~11.3%),与2013年(8.1%,95%CI:5.2%~11.1%)相比变化不明显,差异无统计学意义(P>0.05)。结论 2018年江西省18岁及以上常住居民在未来10年发生心血管病可能性≥10%的比例明显高于2013年,且多类特征人群的发病风险高危比例均高于2013年。应积极加强心血管病高危人群筛查并采取综合干预措施控制危险因素,针对男性、农村、文化程度较低和收入较低等重点人群开展个体化管理,降低发病风险。Objective To understand the dynamic changes of cardiovascular diseases(CVDs) risk in permanent residents (≥18 years old) in Jiangxi Province in future 10 years by analyzing the data of cross-sectional study in Jiangxi Province,and to provide the theoretical basis for CVDs prevention and control.Methods For all subjects of Jiangxi Chronic Disease and Risk Factor Surveillance in 2013 and 2018,the investigation was performed by questionnaire(general demographic characteristics and the related risk factors of CVDs),physical measurement and laboratory examination to analyze and compare the risk factors of CVDs,and according to the total risk evaluation protocol and procedure of CVDs of Chinese Cardiovascular Disease Prevention Guide(2017),CVDs risk of the subjects in future 10 years was evaluated and compared.Rao-Scott χ2 test and logistic model on the basis of complex sampling design were used to analyze the data.The used software was SAS 9.3.Results After complex weighting analyzed data of 5 845 in 2013 and 5 669 objects in 2018,in the permanent residents (≥18 years old) in Jiangxi Province,the proportion of CVDs risk ≥10%(high risk) in 2018 was 16.7%(95%CI:14.6%-18.8%),which was significantly higher than that(11.5%,95%CI:8.3%-14.6%) in 2013,P<0.05;the proportions of high CVDs risk in males,urban area,rural area,25-<35 years old group,35-<45 years old group and 55-<65 years old group,low education level(illiteracy,semiliterate and junior middle school),subjects with unclear income in 2018 were significantly higher than those in 2013(P<0.05).The proportion of CVDs risk with 5%-9%(middle risk) in 2018 was 8.9%(95%CI:6.5%-11.3%),the proportion of CVDs risk with 5%-9%(middle risk) in2013 was 8.1%(95% CI:5.2%-11.1%),there was no significant difference(P >0.05).Conclusion The proportion of CVDs possibility ≥10% in future 10 years in permanent residents (≥18 years old) of Jiangxi Province in 2018 was significantly higher than that in 2013;and the proportion of CVDs possibility ≥10% in different feature populat

关 键 词：心血管疾病 风险评估 常住居民 

分 类 号：R54[医药卫生—心血管疾病]