2020—2021年北京市通州区心血管病高危筛查及危险因素分析  

Cardiovascular risk screening and risk factors in Tongzhou of Beijing from 2020 to 2021

作　　者：杜倩 邹赤群[1] 杨冬梅[1] 刘永昌[1] DU Qian;ZOU Chiqun;YANG Dongmei;LIU Yongchang(Tongzhou Center for Disease Control and Prevention,Beijing 101100,China)

机构地区：[1]北京市通州区疾病预防控制中心,北京101100

出　　处：《预防医学情报杂志》2023年第3期312-317,共6页Journal of Preventive Medicine Information

摘　　要：目的了解北京市通州区心血管病高危人群现状和相关危险因素分布情况,为制定有效干预策略提供科学依据。方法2020年12月至2021年6月对北京市通州区35~75岁常住居民开展心血管病高危筛查工作,包括体格测量、实验室检查以及问卷调查,描述高危检出和相关危险因素分布情况,率的比较采用χ^(2)检验,采用Logistic回归分析心血管病高危影响因素,检验水准α=0.05。结果通州区共2546例对象纳入研究,高危检出率为19.95%,标化率为16.98%。男性高危检出率高于女性(P=0.001),高危检出率随着研究对象年龄增加和BMI升高均呈现上升趋势(P均<0.001),吸烟与饮酒者高危检出率较高(P均<0.001),教育水平高降低高危风险(P<0.001),离异或丧偶者高危检出率高于正常婚姻状况者和未婚者(P=0.001)。Logistic回归分析显示,高龄、超重和肥胖、吸烟、饮酒、离异或丧偶为心血管病高危因素,较高的教育水平为保护因素(P均<0.05)。结论北京市通州区心血管病防治基础较好,关键策略在控制体重、控烟限酒,重点关注高龄、低学历及不良婚姻状况人群。Objective To screen the high-risk population of cardiovascular diseases and risk factors of cardiovascular diseases in Tongzhou District of Beijing,so as to provide scientific basis for effective intervention strategies.Methods Permanent residents aged 35-75 years were randomly selected to conduct the screening of high-risk population of cardiovascular diseases between December 2020 and June 2021 in Tongzhou District of Beijing.Participants were asked to finish physical measurement,laboratory examination and questionnaire survey.Chi-square test was used for ratio comparision with the test levelα=0.05.Logistic regression analysis was used to find out the risk factors of cardiovascular diseases.Results There were 2546 people included in the study.The high-risk detection rate was 19.95%,and the standardized rate was 16.98%.The high-risk detection rate of males was higher than that of females(P=0.001),and the high-risk rate generally increased with the increase of age and BMI(all P<0.001).Smoking and drinking were positively associated with the high-risk for cardiovascular diseases(all P<0.001).Higher education was negatively correlated with the high-risk for cardiovascular diseases(P<0.001).Divorced and widowed individuals were more likely to be the high-risk forcardiovascular diseases than that of people in normal marital status and unmarried(P=0.001).Logistic regression analysis showed that aging,overweight and obesity,smoking,alcohol consumption,and bad marital status were more likely to have high-risk for cardiovascular diseases,while higher education level was negatively correlated with the high-risk for cardiovascular diseases(all P<0.05).Conclusions The prevention and treatment of cardiovascular diseases has a good foundation in Tongzhou of Beijing,and the key strategies are the controls of weight,tobacco and alcohol,and to focus on the elderly,the low educated and people of poor marital status.

关 键 词：通州区 心血管病 高危人群 危险因素 

分 类 号：R54[医药卫生—心血管疾病]