陕西省不同亚型心血管疾病高危人群检出情况及其影响因素分析  

The detection rate of high-risk groups for different subtypes of cardiovascular diseases and its influencing factors in Shaanxi province

作　　者：郭凯明 胡志平[1] 刘蓉[1] 飒日娜[1] 邱琳[1] GUO Kaiming;HU Zhiping;LIU Rong;SARINA;QIU Lin(Institute for Chronic and Noncommunicable Disease Control and Prevention,Shanxi Center for Disease Control and Prevention,Xi’an,710054,China)

机构地区：[1]陕西省疾病预防控制中心慢性非传染性疾病预防控制所,西安710054

出　　处：《中国公共卫生》2025年第1期32-41,共10页Chinese Journal of Public Health

基　　金：陕西省重点研发计划项目(2024SF-YBXM-023)。

摘　　要：目的了解陕西省不同亚型心血管疾病(CVD)高危人群检出情况及其影响因素,为CVD的预防控制提供科学依据。方法于2015年12月—2022年12月采用便利抽样方法在陕西省宝鸡市(凤翔县、金台区、眉县),汉中市(城固县、汉台区),商洛市(商州区、镇安县),渭南市(澄城县、潼关县、蒲城县)和咸阳市(三原县、泾阳县)5个地市12个项目点招募168742名≥35岁常住居民进行问卷调查、体格检查和实验室检测,计算陕西省不同亚型CVD高危人群的检出率,并应用多因素非条件logistic回归模型分析不同亚型CVD高危人群检出情况的影响因素。结果陕西省最终纳入分析的168379名≥35岁常住居民中,检出CVD高危人群60197人,CVD高危人群检出率为35.75%;其中CVD史型、高血压型、糖尿病型、血脂异常型、重度吸烟型和世界卫生组织(WHO)评估风险型高危人群分别检出8611、27047、28995、6632、3310和5737人,高危人群检出率分别为5.11%、16.06%、17.22%、3.94%、1.97%和3.41%。多因素非条件logistic回归分析结果显示,年龄≥45岁、吸烟、饮酒、睡眠打鼾、疲劳和困倦、体质指数(BMI)超标但腰围(WC)正常、BMI正常但WC超标、BMI和WC均超标以及有高血压家族史、糖尿病家族史、CVD家族史、高胆固醇血症家族史是CVD高危人群检出的危险因素,女性、中等和高社会经济地位(SES)是CVD高危人群检出的保护因素;年龄≥45岁、睡眠打鼾、疲劳和困倦、BMI超标但WC正常、BMI正常但WC超标、BMI和WC均超标以及有高血压家族史、糖尿病家族史、CVD家族史、癌症家族史是CVD史型高危人群检出的危险因素,女性、吸烟、饮酒和有高胆固醇血症家族史是CVD史型高危人群检出的保护因素;女性、年龄≥45岁、饮酒、睡眠打鼾、疲劳和困倦、BMI超标但WC正常、BMI正常但WC超标、BMI和WC均超标以及有高血压病家族史、高胆固醇血症家族史是高血压型�Objective To investigate the detection rate of different subtypes of cardiovascular disease(CVD)high-risk populations in Shaanxi province and their influencing factors,so as to provide a scientific basis for the prevention and control of CVD.Methods From December 2015 to December 2022,a convenience sampling method was used to recruit 168742 permanent residents aged≥35 years from 12 project sites in 5 cities of Shaanxi province:Baoji city(Fengxiang county,Jintai district,Mei county),Hanzhong city(Chenggu county,Hantai district),Shangluo city(Shangzhou district,Zhen'an county),Weinan city(Chengcheng county,Tongguan county,Pucheng county),and Xianyang city(Sanyuan county,Jingyang county).Questionnaires,physical examinations,and laboratory tests were conducted.The detection rates of different subtypes of CVD high-risk populations in Shaanxi province were calculated,and a multifactorial unconditional logistic regression model was used to analyze the influencing factors of the detection of different subtypes of CVD high-risk populations.Results Among the 168379 permanent residents aged≥35 years finally included in the analysis in Shaanxi province,60197 were identified as high-risk for CVD,with a detection rate of 35.75%.Among them,8611,27047,28995,6632,3310,and 5737 individuals were identified as having a history of CVD,hypertension,diabetes,dyslipidemia,heavy smoking,and World Health Organization(WHO)assessed risk,respectively,with detection rates of 5.11%,16.06%,17.22%,3.94%,1.97%,and 3.41%,respectively.Multifactorial unconditional logistic regression analysis showed that age≥45 years,smoking,alcohol consumption,snoring,daytime fatigue or sleepiness,overweight with normal waist circumference(WC),normal body mass index(BMI)with high WC,both high BMI and WC,and a family history of hypertension,diabetes,CVD,and hypercholesterolemia were risk factors for the detection of high-risk CVD populations,while female sex and middle and high socioeconomic status(SES)were protective factors.Age≥45 years,snoring,fatigue and

关 键 词：心血管疾病(CVD) 亚型 高危人群 检出情况 影响因素 陕西省 

分 类 号：R54[医药卫生—心血管疾病]