宁夏回族自治区心血管疾病高危人群筛查与相关危险因素研究  

Study of screening and risk factors associated with high-risk groups for cardiovascular disease in Ningxia

作　　者：何源[1] 马少宁[1] 王海宏[1] 惠娟 王青聪[1] HE Yuan;MA Shao-ning;WANG Hai-hong;HUI Juan;WANG Qing-cong(Ningxia Center for Disease Prevention and Control,Yinchuan,Ningxia 750004,China)

机构地区：[1]宁夏回族自治区疾病预防控制中心慢病综合管理科,宁夏银川750004

出　　处：《现代预防医学》2022年第1期21-26,31,共7页Modern Preventive Medicine

摘　　要：目的初步确定宁夏回族自治区人群心血管疾病高危率,了解高危类型及聚集情况,分析相关危险因素,为宁夏心血管疾病的预防、早诊早治提供参考依据。方法采用多阶段分层整群抽样方法,选择8个县、区开展筛查。对调查对象进行问卷调查、体格测量和实验室检查。计数资料用率表示,组间比较采用χ^(2)检验,影响因素采用logistic回归分析。结果共调查65249人,心血管疾病高危人群占比18.85%(12298例)。男性高危率(20.21%)高于女性(17.81%),差异具有统计学意义(χ^(2)=59.97,P<0.05)。回族高危率(18.40%)低于汉族(19.00%),差异无统计学意义(χ^(2)=4.03,P>0.05)。城乡(χ^(2)=55.73)、教育程度(χ^(2)=200.27)、职业(χ^(2)=232.01)、家庭年收入(χ^(2)=152.36)、婚姻状况(χ^(2)=70.49)、BMI(χ^(2)=1412.11)、吸烟(χ^(2)=12.51)和饮酒(χ^(2)=19.02)等因素的心血管疾病高危率差异均有统计学意义(P<0.05)。血压高型是心血管病高危的主要类型,为12.73%(8309例)。随着年龄、BMI值的增加,成为心血管病高危人群的风险性越大;吸烟、饮酒、不在婚、文盲及小学文化、从事行政及专业技术人员均为心血管病高危因素,呈现正相关性;而女性是其保护因素,呈现负相关性。结论宁夏回族自治区心血管病高危率低于全国平均水平,血压高型是其主要高危类型。建议重点关注低学历、低收入、农村和高龄人群。Objective To determine the prevalence rate of people at high risk of cardiovascular disease in Ningxia Hui Autonomous Region,to understand the situation of high-risk types of cardiovascular disease and the aggregation of various high-risk types in subjects,and to analyze the risk factors related to cardiovascular disease in high-risk groups,so as to provide references for prevention,early diagnosis and treatment.Methods Multistage stratified cluster sampling was adopted.Eight areas were selected for screening.Questionnaire survey,physical measurement and laboratory examination were carried out for respondents.The counting data were expressed by rate,the comparison between groups was performed by chi-square test,and the influencing factors were analyzed by logistic regression method.Results A total of 65249 people were investigated,and the high-risk group of cardiovascular disease accounted for 18.85%(12298 cases).The high-risk rate of male(20.21%)was higher than that of female(17.81%),and there was statistical significance(χ^(2)=59.97;P<0.05).The high-risk rate of Hui nationality(18.40%)was lower than that of Han nationality(19.00%),and there was no statistical significance(χ^(2)=4.03;P>0.05).There were significant differences in high-risk rates of cardiovascular disease between urban and rural areas(χ^(2)=55.73),education levels(χ^(2)=200.27),occupations(χ^(2)=232.01),annual family income levels(χ^(2)=152.36),marital status(χ^(2)=70.49),BMI(χ^(2)=1412.11),smoking(χ^(2)=12.51)and drinking(χ^(2)=19.02)(P<0.05).High blood pressure type was the main type of high risk of cardiovascular disease,which accounted for 12.73%(8309 cases).With the increase of age and BMI,the risk of becoming a high-risk group of cardiovascular disease was greater.Smoking,drinking,not being married,illiteracy and primary school education,administrative and professional technical personnel were the risk factors of cardiovascular disease,showing a positive correlation.Being a female,however,was a protective factor of cardiovascular d

关 键 词：心血管疾病 高危人群 危险因素 筛查 

分 类 号：R54[医药卫生—心血管疾病]