华中地区迁居居民预防心血管病指标分析  

Analysis of cardiovascular disease prevention indicators among residents with intra-urban migration in Central China

作　　者：黄天舒 田原 张行易 李晨辉 赵允 赵东源 陈现华 朱梦瑶 焦冠淇 郭东民 李希[1,2] 崔建兰 HUANG Tianshu;TIAN Yuan;ZHANG Xingyi;LI Chenhui;ZHAO Yun;ZHAO Dongyuan;CHEN Xianhua;ZHU Mengyao;JIAO Guanqi;GUO Dongmin;LI Xi;CUI Jianlan(Department of Biological Sample Resources,Central China Sub-center of National Center for Cardiovascular Diseases,Zhengzhou,Henan 450046,China;Chinese Academy of Medical Sciences Fuwai Hospital National Center for Cardiovascular Diseases,Beijing 102308,China)

机构地区：[1]国家心血管病中心华中分中心生物样本资源部,河南郑州450046 [2]国家心血管病中心中国医学科学院阜外医院,北京102308

出　　处：《预防医学》2024年第5期451-456,共6页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：中国医学科学院医学与健康科技创新工程项目(2021-CXGC06)。

摘　　要：目的了解华中地区迁居居民预防心血管病(CVD)指标情况,为有针对性地防控CVD提供参考。方法基于华中地区心血管病高危人群早期筛查与综合干预项目,收集2015年9月—2020年8月参与调查的35~75岁居民的基本资料,根据出生地、户籍和现居住地分为老城区本地居民、新城区本地居民、其他城市外来人口和农村外来人口4组,采用稳健Poisson回归模型分析各组居民CVD一、二级预防相关的指标情况。结果纳入76513人,其中男性29420人,占38.45%;女性47093人,占61.55%。年龄为(56.36±9.84)岁。老城区本地居民、新城区本地居民、其他城市外来人口和农村外来人口分别为45087、23868、5668和1890人,占58.93%、31.19%、7.41%和2.47%。调整年龄、性别、文化程度等变量后,稳健Poisson回归分析结果显示,与老城区本地居民相比,新城区本地居民对不饮酒或适度饮酒(RR=0.987,95%CI:0.975~1.000)、健康饮食(RR=0.535,95%CI:0.365~0.782)的遵循率较低,CVD高危人群使用阿司匹林作为一级预防药物的使用率较低(RR=0.616,95%CI:0.511~0.741),高血压知晓率(RR=0.873,95%CI:0.782~0.974)和控制率(RR=0.730,95%CI:0.627~0.849)较低;其他城市外来人口对不吸烟的遵循率较高(RR=1.045,95%CI:1.017~1.075);农村外来人口CVD高危人群使用阿司匹林作为一级预防药物的使用率较低(RR=0.826,95%CI:0.707~0.966)。结论研究发现华中地区的新城区本地居民CVD一级预防情况相对较差,需重点干预。Objective To investigate cardiovascular disease(CVD)prevention status among residents with intra-urban migration in Central China,so as to provide insights into targeted prevention and control of CVD.Methods Basic data of residents aged 35 to 75 years who participated in Early Screening and Comprehensive Intervention Project for CVD high-risk populations in Central China from September 2015 to August 2020 were collected.According to birth place,type of registered residence and current residence,residents were divided into four groups:local residents in old urban area,local residents in new urban area,other urban migrants and other rural migrants.The status of CVD primary and secondary prevention,were analysed by using a robust Poisson regression model.Results A total of 76513 residents were recruited,including 29420 males(38.45%)and 47093 females(61.55%),and had a mean age of(56.36±9.84)years.There were 45087(58.93%)local residents in old urban area,23868(31.19%)local residents in new urban area,5668(7.41%)other urban migrants and 1890(2.47%)other rural migrants.After adjusting for variables such as age,gender and educational level,the results of robust Poisson regression analysis showed that compared with local residents in old urban area,local residents in new urban area had lower compliance rates of non-or moderate-drinking(RR=0.987,95%CI:0.975-1.000)and healthy diet(RR=0.535,95%CI:0.365-0.782),lower proportion of using aspirin as primary prevention in CVD high-risk population(RR=0.616,95%CI:0.511-0.741),lower awareness(RR=0.873,95%CI:0.782-0.974)and control rates(RR=0.730,95%CI:0.627-0.849)of hypertension;other urban migrants had higher compliance rate of non-smoking(RR=1.045,95%CI:1.017-1.075);other rural migrants had lower proportion of using aspirin as primary prevention in CVD high-risk population(RR=0.826,95%CI:0.707-0.966).Conclusion The CVD primaryprevention among local residents in new urban area is relatively poor among four groups of residents in Central China,and key interventions are needed.

关 键 词：华中地区 心血管病 健康生活方式 一级预防 二级预防 

分 类 号：R541[医药卫生—心血管疾病]