深圳市成年人心血管代谢危险因素聚集性及与相关人口经济因素的关系分析  

Clustering of cardio-metabolic risk factors and related demographic economic factors among adults,Shenzhen

作　　者：徐英[1] 郭艳芳[1] 刘峥[1] 赵仁成[1] 袁青[1] 王一茸 彭绩[2] 雷林[2] XU Ying;GUO Yan-fang;LIU Zheng;ZHAO Ren-cheng;YUAN Qing;WANG Yi-rong;PENG Ji;LEI Lin(Department of Chronic Non-communicable Disease Prevention and Control,Baoan Chronic Diseases Prevent and Cure Hospital,Shenzhen,Guangdong 518101,China;不详)

机构地区：[1]深圳市宝安区慢性病防治院慢性病综合防制科,广东深圳518102 [2]深圳市慢性病防治中心肿瘤防控科

出　　处：《现代预防医学》2022年第21期3998-4002,4019,共6页Modern Preventive Medicine

基　　金：深圳市科创委基础研究面上项目(JCYJ20210324125202006)。

摘　　要：目的了解深圳市成年人心血管代谢性危险因素聚集性及人口经济因素对其的影响。方法利用深圳市2018年“慢性病及危险因素”监测数据,分析深圳市成年人“中心性肥胖、血压升高、血糖升高、甘油三酯(TG)升高和高密度脂蛋白胆固醇(HDL-C)降低”等五项代谢性危险因素及其同时存在2项及以上聚集情况,并采用多因素logistic回归模型分析人口经济因素对其的影响。结果2018年深圳市成年人中≥1项代谢性危险因素的比例为75.6%,存在危险因素聚集性(≥2项)的比例为45.8%。多因素分析显示,男性、年龄越大、文化程度越低、在深居住年限越长,聚集风险越高。结论深圳市成年人中近一半有心血管代谢性危险因素聚集情况,建议针对男性、高龄年段、低文化水平和在深居住时间较长的重点人群优先采取干预措施,有效预防心血管病的发生。Objective To investigate the clustering of cardiovascular metabolic risk factors and related demographic economic factors among adults in Shenzhen.Methods Using the monitoring data of"Chronic Diseases and Risk Factors"in Shenzhen in 2018,five metabolic risk factors including"central obesity,elevated blood pressure,elevated blood glucose,elevated triglyceride(TG)and decreased high-density lipoprotein cholesterol(HDL-C)"were analyzed in Shenzhen adults and their aggregation of two or more factors were analyzed.The influence of demographic and economic factors was analyzed by multivariate Logistic regression model.Results In 2018,the proportion of≥1 metabolic risk factor in Shenzhen adults was 75.6%,and the proportion of clustering risk factors(≥2 items)was 45.8%.Multivariate analysis showed that except household registration,occupation and income,gender,age,educational level and residence years in Shenzhen were all related to the clustering of major metabolic risk factors.Male,older,less educated,and longer years of residence in Shenzhen had higher risk of aggregation.Conclusion Nearly half of the adults in Shenzhen have the clustering of cardiovascular metabolic risk factors.It is suggested that priority should be given to the men,the elderly,the low educational level and the key population who have lived in Shenzhen for a long time to effectively prevent the occurrence of cardiovascular diseases.

关 键 词：成年人 心血管代谢性危险因素 聚集性 人口经济因素 

分 类 号：R54[医药卫生—心血管疾病] R181.3[医药卫生—内科学]