福建省心血管健康综合评价指标体系的构建  

Construction of synthetical evaluation index system of cardiovascular health in Fujian Province

作　　者：黄少芬[1] 杨文静 尹艳榕 林修全[1] 李晓庆[1] 陈铁晖[1] 钟文玲 HUANG Shaofen;YANG Wenjing;YING Yanrong;LIN Xiuquan;LI Xiaoqing;CHEN Tiehui;ZHONG Wenling(Department of Chronic and Non-communicable Disease Control and Prevention,Fujian Provincial Center for Disease Control and Prevention,Fuzhou,Fujian 350012,China;School of Public Health, Xiamen University)

机构地区：[1]福建省疾病预防控制中心地方病及慢性非传染性疾病防治所,福建福州350012 [2]厦门大学公共卫生学院

出　　处：《中华高血压杂志（中英文）》2024年第2期147-152,共6页Chinese Journal of Hypertension

基　　金：福建省卫生健康科研人才培养项目(2019-CXB-15)。

摘　　要：目的 建立福建省心血管健康状况综合评价指标体系,为福建省制定因地制宜的心血管疾病综合防控措施、提高人群心血管健康水平提供依据。方法 借鉴中国心血管健康指数并结合文献研究,初步建立心血管健康状况综合评价指标体系框架,2021年12月至2022年4月,选取相关专业领域的40位专家,采用德尔菲法进行两轮专家咨询。按照各指标得分中位数≥8且四分位数间距≤2的原则对指标进行筛选。采用层次分析法确定指标体系各维度和各指标的权重。根据中国疾病预防控制中心《人口死亡信息登记管理系统》和福建省慢性病及其危险因素监测数据,比较福建省各市心血管疾病流行、危险因素暴露和防控情况三个维度的得分。结果 福建省心血管健康综合评价指标体系由心血管疾病流行情况、危险因素暴露情况、危险因素防控情况、心血管疾病救治情况、公共卫生政策与服务能力5个维度构成,包括15个二级指标、49个三级指标。层次分析法获得的5个维度的权重从高到低依次为危险因素防控情况0.294 5、心血管疾病救治情况0.207 2、公共卫生政策与服务能力0.180 2、心血管疾病流行情况0.164 6、危险因素暴露情况0.153 5。根据该评价体系,初步评价结果显示,厦门市心血管疾病流行、危险因素暴露和防控情况总分最高(39.37分),漳州市最低(19.53分)。结论 本研究构建了一套福建省心血管健康综合评价体系,可以为全面评估福建省人群心血管健康进而制定因地制宜的心血管疾病防控策略提供科学依据。Objective To establish a synthetical evaluation index system of cardiovascular health status in Fujian Province,providing a basis for formulating comprehensive prevention and control measures for cardiovascular diseases tailored to local conditions and improving the cardiovascular health level of the population.Methods Based on the Chinese Cardiovascular Health Index and literature research,a preliminary framework of synthetical evaluation index system of cardiovascular health status was established.From December 2021 to April 2022,forty experts were selected,and the Delphi method was used to complete two rounds of expert consultation.If the median score ≥8 and interquartile rage ≤2,the index was accepted.Analytical hierarchy process(AHP) was used to calculate the final weight of each dimension and each index.Based on the Death Information Registration Management System of Chinese Center for Disease Control and Prevention and the monitoring data of chronic diseases and risk factors in Fujian Province,the scores of three dimensions(i.e.,prevalence status of cardiovascular disease,exposure of risk factors,and prevention and control of risk factors) in different cities in Fujian Province were calculated and compared.Results The synthetical evaluation index system of cardiovascular health in Fujian Province was composed of 5 dimensions:prevalence status of cardiovascular disease,exposure of risk factors,prevention and control of risk factors,treatment situation,public health policy and service capacity,including 15 second-level indicators and 49 third-level indicators.The weights of 5 dimensions from high to low were successively prevention and control of risk factors 0.294 5,treatment situation 0.207 2,public health policy and service capacity 0.180 2,prevalence status of cardiovascular disease 0.164 6,exposure of risk factors 0.153 5.The total score of prevalence status of cardiovascular disease,exposure of risk factors and prevention and control of risk factors was highest in Xiamen(39.37),while lowest in Zhan

关 键 词：心血管健康 综合评价 指标体系 德尔菲法 层次分析法 福建省 

分 类 号：R54[医药卫生—心血管疾病]