河南省中牟县35~75岁居民心血管病高危现状及影响因素  

High-risk status and influencing factors of cardiovascular disease among residents aged 35-75 in Zhongmou County,Henan Province

作　　者：刘玉婷 陈海瑞 尚飞 王凯娟[1] LIU Yu-ting;CHEN Hai-rui;SHANG Fei;WANG Kai-juan(School of Public Health,Zhengzhou University,Zhengzhou 451450,China;Zhongmou County Health and Epidemic Prevention Station)

机构地区：[1]郑州大学公共卫生学院,河南郑州451450 [2]中牟县卫生防疫站

出　　处：《华南预防医学》2021年第12期1501-1505,共5页South China Journal of Preventive Medicine

摘　　要：目的分析河南省中牟县35~75岁居民心血管病高危情况及影响因素,为防治心血管病提供借鉴资料。方法以国家心血管病早期筛查与综合干预项目为依托,将2016年1—12月河南省中牟县辖区内心血管病项目初筛数据中35~75岁居民作为研究对象进行问卷调查、体格检查及血生化指标检测,根据《中国心血管病报告2015》并应用China-PAR风险评估模型进行心血管病风险评估,采用描述流行病学分析方法对该人群心血管病高危现状进行分析,并采用单、多因素分析方法对心血管高危影响因素进行分析。结果共对2104名35~75岁居民进行研究,男性1122人,女性982人;年龄35~75岁,平均(59.3±6.4)岁;BMI 17.1~27.4 kg/m^(2),平均(22.6±3.1)kg/m^(2)。检出心血管病高危228例,心血管病高危人群检出率为10.84%。其中血压高型高危所占比例最高(36.84%),其次为心血管病史型高危(26.32%)、患病风险≥20%型高危(20.18%)、血脂异常型高危(16.67%)。多因素Logistic回归分析结果显示,男性(OR=2.499)、年龄越大(OR=2.795)、BMI≥24.0 kg/m^(2)(OR=2.255)、居住地为农村(OR=2.044)、学历为初中及以下和高中或中专(OR=1.866、1.383)、饮酒超量(OR=1.994)、体育锻炼1~2次/周、≥3次/周(OR=0.581、0.489)是35~75岁居民心血管病高危的影响因素。结论河南省中牟县35~75岁居民心血管病高危人群检出率较高,其受到性别、年龄、BMI、居住地、学历、职业、饮酒、体育锻炼多种因素影响,需针对具有以上影响因素的人群加强宣教工作并重点筛查,做好心血管病早预防、早发现、早治疗,降低心血管病危害。Objective To analyze the high-risk status and influencing factors of cardiovascular disease among residents aged 35-75 in Zhongmou County,Henan Province,so as to provide reference data for prevention and control of cardiovascular disease.Methods Relying on the National Cardiovascular Disease Early Screening and Comprehensive Intervention Project,people aged aged 35-75 from the preliminary screening data of the cardiovascular disease project in Zhongmou County,Henan Province from January to December 2016 were used as research subjects to conduct questionnaire surveys,physical fitness inspection and blood biochemical index detection.According to the“China Cardiovascular Disease Report 2015”and applying the China-PAR risk assessment model for cardiovascular disease risk assessment,using descriptive epidemiological analysis method to analyze the high-risk status of cardiovascular disease in this population,and univariate and multivariate analysis methods were used to analyze the high-risk factors of cardiovascular disease.Results A total of 2104 residents were studied,including 1122 males and 982 females;aged 35-75 years,with an average of(59.3±6.4)years;body mass index(BMI)was 17.1-27.4 kg/m^(2),with an average of(22.6±3.1)kg/m^(2).Among them,228 cases of high-risk cardiovascular disease were detected,and the detection rate was 10.84%.Of which the highrisk of high blood pressure accounted for the highest proportion(36.84%),followed by the high-risk of cardiovascular disease(26.32%),the high-risk of disease risk≥20%(20.18%),and the high-risk of dyslipidemia(16.67%).Multivariate Logistic regression analysis showed that male(OR=2.499),older age(OR=2.795),BMI≥24.0 kg/m^(2)(OR=2.255),rural residence(OR=2.044),junior high school and below and high school education or technical secondary school(OR=1.866,1.383),excessive drinking(OR=1.994),physical exercise 1-2 times/week(OR=0.581)and≥3 times/week(OR=0.489)were influencing factors of high-risk of cardiovascular disease among residents aged 37-75.Conclusion The d

关 键 词：心血管病 高危人群 筛查 影响因素 

分 类 号：R195.4[医药卫生—卫生统计学]