摘要
目的了解广州市越秀区18岁以上居民血脂异常以及各分型的血脂水平、检出率和危险因素,为血脂异常防制工作提供依据。方法采用多阶段分层整群随机抽样,对越秀区18岁以上居民进行问卷、体格检查、实验室检测并获取信息。采用方差分析、χ2检验、多因素Logistic回归分析等方法进行统计分析。结果调查越秀区18岁以上居民555人,血脂异常总检出率为45.05%,其中男性检出率(50.00%)高于女性(41.54%)(P<0.05),女性的检出率有随年龄升高的趋势(χ2趋势=8.97,P<0.01)。越秀区高TC血症、高TG血症、混合型高脂血症、低HDL-C血症的检出率分别为10.45%、12.43%、3.96%、34.95%。总胆固醇、甘油三酯、高密度脂蛋白的平均水平为(4.79±1.16)、(1.52±1.36)、(1.14±0.35)mmol/L。多因素Logistic回归分析显示,学历、腹型肥胖和慢性病家族史是血脂异常的独立影响因素。结论广州市越秀区男性血脂异常比较高,文化程度低、肥胖和有慢性病家族史者是血脂异常的影响因素。
Objective To understand the detection rate,levels,types and risk factors of dyslipidemia among over 18 years old residents in Yuexiu district,so as to provide the evidence for the prevention and control of dyslipidemia.Methods Multi-stage stratified cluster random sampling was used to conduct questionnaire,physical examination,laboratory examination and obtain information for residents aged 18 years and above in Yuexiu district.Variance analysis,chi-square test,multivariate logistic regression analysis and other methods were used for statistical analysis.Results A total of 555 residents over the age of 18 were surveyed in Yuexiu district,the detection rate of dyslipidemia was 45.05%,which was significantly higher in male(50.00%)than in female(41.54%)(P<0.05),and the detection rate tended to increase with age in women(χ~2trend=8.97,P<0.01).The detection rate of hypercholesterolemia,hypertriglyceridemia,mixed hyperlipidemia and low high-density lipoprotein cholesterol in Yuexiu district was 10.5%,12.4%,4.0%and 35%,respectively.The mean detection level of total cholesterol,triglycerides,and HDL was 4.79±1.16 mmol/L,1.52±1.36 mmol/L,and 1.14±0.35 mmol/L,respectively.Multivariate logistic regression analysis showed that education,abdominal obesity and family history of chronic diseases were independent factors of dyslipidemia.Conclusion Males have higher detection rate of dyslipidemia in Yuexiu district,Guangzhou city,and low education level,obesity and having family history of chronic diseases are risk factors of dyslipidemia.
作者
赵德坚
卜雪
翁帆
龚诚华
ZHAO De-jian;BU Xue;WENG Fan;GONG Cheng-hua(Yuexiu District Center for Disease Control and Prevention,Yuexiu,Guangdong,510055,China;不详)
出处
《预防医学论坛》
2019年第9期648-652,共5页
Preventive Medicine Tribune
基金
广州市越秀区科信局科技计划项目(项目编号:2016-WS-008)
关键词
血脂异常
检出率
危险因素
Dyslipidemia
Detection rate
Risk factor
