福建省35~75岁居民心血管病高危人群特征及影响因素  

Characteristics and influencing factors of high risk population of cardiovascular disease among residents aged 35-75 years in Fujian Province

作　　者：章叶发[1] 方欣[1] 陈铁晖[1] 李晓庆[1] 林修全[1] 杨泽 钟文玲 ZHANG Yefa;FANG Xin;CHEN Tiehui;LI Xiaoqing;LIN Xiuquan;YANG Ze;ZHONG Wenling(Fujian Center for Disease Control and Prevention,Fuzhou,Fujian 350012,China)

机构地区：[1]福建省疾病预防控制中心,福建福州350012

出　　处：《海峡预防医学杂志》2022年第5期1-4,共4页Strait Journal of Preventive Medicine

基　　金：福建省科技厅引导性项目(2020Y0060);福建省卫健委中青年骨干人才培养项目(2021GGA035)。

摘　　要：目的了解福建省心血管病(CVD)高危人群特征及其影响因素,为CVD防控提供依据。方法2017—2020年采取方便抽样法在福建省10个CVD高危人群早期筛查与综合干预项目点选取35~75岁常住居民120458人为研究对象,开展问卷调查、体格检查和实验室检测,比较不同特征人群CVD高危检出率并分析其影响因素。结果研究对象平均年龄56.7±9.8岁,CVD高危检出率为21.4%(25728/120458),标化检出率18.5%。Logistic多因素回归分析结果显示,居住地为农村(OR=1.37)、年龄大(≥45岁,OR=2.81)、吸烟(OR=1.09)、饮酒(OR=1.14)和超重/肥胖(BMI≥24.0 kg/m^(2),OR=2.38)是CVD高危的危险因素;女性(OR=0.91)、文化程度≥高中(OR=0.90)、家庭年收入≥5万元(OR=0.96)和有医保(OR=0.87)为其保护因素。结论福建省35~75岁居民CVD高危人群检出率21.4%,应关注重点人群并采取针对性干预措施,减少CVD事件发生。Objective To understand the characteristics and influencing factors of high risk population of cardiovascular disease(CVD)in Fujian Province,and to provide evidence for prevention and control strategy.Methods During 2017-2020,a total of 120458 long-term residents aged 35-75 years old were selected using convenience sampling method from high risk populations enrolled in 10 project sites for early screening and integrated intervention.Questionnaire,physical examination and laboratory tests were performed for data collection.Detection rates of high-risk CVD in different patient groups were compared and their influencing factors were also analyzed.Results The study population had a mean age of 56.7±9.8 years.The estimated crude detection rate of high-risk CVD was 21.4%,and the standardized detection rate was 18.5%.Results of multivariate logistic regression analysis showed that living in rural area(OR=1.37),old age(≥45 years,OR=2.81),smoking(OR=1.09),alcohol drinking(OR=1.14),and overweight/obesity(BMI≥24.0 kg/m^(2),OR=2.38)were the risk factors of high-risk CVD.Female(OR=0.91),education level≥high school(OR=0.90),annual family income≥50,000 Chinese yuan(OR=0.96)and medical insurance(OR=0.87)were the protective factors.Conclusion The detection rate of high risk CVD was 21.4%in population aged 35-75 years in Fujian Province.More attention and targeted interventions should be addressed on key population in order to reduce the incidence rate of CVD events.

关 键 词：心血管病 高危人群 流行病学特征 疾病控制 

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