摘要
目的了解江苏省心血管病(CVD)高危人群检出类型和聚集情况以及相关影响因素,为CVD防控提供参考依据。方法对纳入筛查的120211名对象,通过问卷调查、体格检查和生化检测收集相关资料信息。统计学分析采用χ^(2)检验和多因素logistic回归分析。结果研究对象CVD高危检出率为25.03%,其中高血压型、血脂异常型、CVD史型和WHO评估患病风险≥20%型检出率分别为19.01%、4.85%、3.18%和5.31%。男性、农村、年龄增长、文化程度低、家庭年收入低、饮酒、腰围超标、超重和肥胖都是CVD高危的危险因素(均P<0.01)。CVD不同高危类型的聚集1、2、≥3种高危类型聚集的构成比分别为74.01%、22.91%、3.08%。年龄、农村居民、文化程度、家庭年收入随着聚集种类的增多,关联强度也在不断增强。结论江苏省CVD的防控应根据不同影响因素采取针对性的措施,争取达到以最小的花费取得最大的防控成效。
Objective To investigate the detection types and aggregation of high-risk population of cardiovascular disease(CVD)in Jiangsu province and the related influencing factors to provide reference for the prevention and control of cardiovascular disease.Methods A total of 120211 participants were included in the investigation.Information was collected by questionnaire based survey,physical examination and biochemical tests.χ^(2) test and multivariate logistic regression were used for statistical analysis.Results The detection rate of CVD high risk was 25.03%.The detection rates were 19.01%,4.85%,3.18%and 5.31%for hypertension,dyslipidemia,cardiovascular history and WHO assessed risk≥20%types,respectively.Male,rural,old age,low education level,low family income,drinking,waist circumference exceeding standard,overweight and obesity were risk factors of CVD(all P<0.01).The composition ratios of aggregation of 1,2 and≥3 high risk types of CVD were 74.01%,22.91%and 3.08%,respectively.With the increase of aggregation types,the correlation strength increased with age,rural residents,education level and annual family income.Conclusion Targeted measures should be carried out according to different influencing factors for the prevention and control of CVD in Jiangsu province in order to achieve the maximum prevention and control effect with the minimum cost.
作者
吴洵
覃玉
崔岚
苏健
陈路路
陶然
周金意
武鸣
Wu Xun;Qin Yu;Cui Lan;Su Jian;Chen Lulu;Tao Ran;Zhou Jinyi;Wu Ming(School of Public Health,Nanjing Medical University,Nanjing 211166,China;Jiangsu Provincial Center for Disease Control and Prevention,Nanjing 210009,China)
出处
《中华流行病学杂志》
CAS
CSCD
北大核心
2022年第1期78-84,共7页
Chinese Journal of Epidemiology
基金
国家重大公共卫生项目。
关键词
心血管病
高危人群
检出率
危险因素
Cardiovascular disease
High-risk population
Detection rate
Risk factor
