赣南地区中老年人高胆固醇血症流行特征及影响因素研究  

The epidemic characteristics and influencing factors of hypercholesterolemia among the middle-aged and elderly people in Southern Jiangxi

作　　者：谢思思 余丽红 李剑[2] 郭逸星 刘艳红[1] 董明华[1] 罗晓婷[3] 吴清锋 XIE Si-si;YU Li-hong;LI Jian;GUO Yi-xing;LIU Yan-hong;DONG Ming-hua;LUO Xiao-ting;WU Qing-feng(School of Public Health and Health Management,Gannan Medical University;School of Basic Medicine,Gannan Medical University;School of General Practice Medicinel,Gannan Medical University,Ganzhou,Jiangxi 341000)

机构地区：[1]赣南医学院公共卫生与健康管理学院 [2]赣南医学院基础医学院 [3]赣南医学院全科医学学院,江西赣州341000

出　　处：《赣南医学院学报》2023年第8期829-834,共6页JOURNAL OF GANNAN MEDICAL UNIVERSITY

基　　金：国家自然科学基金项目(NO.81660566,81960621);赣南医学院科研课题(YB201940);博士启动基金项目(QD201602,QD202015)。

摘　　要：目的:了解赣南地区中老年人群高胆固醇血症的流行特点及其影响因素,为该病的防制提供理论依据。方法:采用多阶段随机抽样的方法从赣南地区35岁及以上常住居民中选取研究对象。通过面对面问卷调查、体格检查、实验室检测等方法收集数据,使用SPSS 26.0进行数据分析。结果:本研究共纳入1827名研究对象,平均年龄(56.05±7.87)岁。研究对象血清总胆固醇(Total Cholesterol,TC)均值为(5.24±1.00)mmol·L^(-1),高胆固醇血症患病率为14.72%,标化患病为7.32%。单因素分析结果显示,年龄、职业、高脂血症家族史、吸烟情况、中心型肥胖、高尿酸血症等与高胆固醇血症患病风险有关(P<0.05)。二分类Logistic回归分析结果显示,赣南地区中老年人高胆固醇血症患病的危险因素是:女性、55~64岁年龄组、农民、家族高脂血症、高尿酸血症患者。结论:赣南地区中老年人群高胆固醇血症患病率较高,应提升高危人群的预防意识,加强体型和饮食管理。Objective:To understand the epidemic characteristics and related factors of hypercholesterolemia in middle-aged and elderly people in Southern Jiangxi(Gannan),and to provide a basis for the prevention and control of the disease.Methods:Multi-stage random sampling method was applied to select research objects among permanent residents aged 35 and above in Southern Jiangxi.The data were obtained from face to face questionnaire survey,physical examination and laboratory tests of the participants,and were analyzed using SPSS 26.0.Results:A total of 1827 participants were included in this study,with an average age of 56.05±7.87 years.The mean of serum total cholesterol(TC)of the subjects was 5.24±1.00 mmol·L^(-1),the prevalence of hypercholesterolemia was 14.72%,and the standard prevalence rate was 7.32%.Univariate analysis showed that age,occupation,family history of hyperlipidemia,smoking status,central obesity and hyperuricemia were related to hypercholesterolemia(P<0.05).Binary Logistic regression analysis showed that the risk factors of hypercholesterolemia among middle-aged and elderly people in southern Jiangxi were female,55-64 years old,farmers,family history of hyperlipidemia and hyperuricemia.Conclusion:The prevalence rate of hypercholesterolemia is high in the middle-aged and elderly people in Southern Jiangxi.It is necessary to enhance the prevention awareness,strengthen the body size and diet management of the high-risk population.

关 键 词：赣南地区 高胆固醇血症 流行病学 患病率 影响因素 

分 类 号：R195.4[医药卫生—卫生统计学]