摘要
目的了解贵州省东南部地区≥15岁居民心脑血管疾病(CVD)患病情况及其影响因素,为采取相应的干预措施提供参考依据。方法于2018年4月—2019年3月采用分层随机整群抽样方法在贵州省东南部地区抽取149 787名≥15岁居民进行问卷调查、CVD常规检查、体格检查和实验室检测。结果贵州省东南部地区149 787名≥15岁居民中,患心脑血管疾病者857例,患病率为572.15/10万,标化患病率为570.03/10万;多因素非条件logistic回归分析结果显示,年龄≥40岁、苗族、土家族、家庭人均年收入> 10 000元、有CVD家族史、超重、肥胖、吸烟、饮酒、长期紧张或焦虑、居住环境大气污染、高血压、糖尿病和高血脂是贵州省东南部地区≥15岁居民CVD患病的危险因素;女性、布依族、侗族、其他民族、文化程度初中及以上、工人、专业技术人员、干部、服务娱乐人员、个体商人、居住在农村、正常体重、饮茶、运动、饮食类型为酸性食物、饮食种类为乳制品和蔬菜水果是贵州省东南部地区≥15岁居民CVD患病的保护因素。结论贵州省东南部地区≥15岁居民CVD患病率较高,性别、年龄、民族、文化程度、职业、家庭人均年收入、居住地、CVD家族史、体质指数(BMI)、吸烟情况、饮酒情况、饮茶情况、运动情况、饮食类型、饮食种类及是否长期紧张或焦虑、居住环境大气污染、高血压、糖尿病、高血脂是该地区≥15岁居民CVD患病的主要影响因素。
Objective To examine the prevalence and risk factors of cardiovascular disease(CVD) among residents aged15 years and above living in southeast area of Guizhou province and to provide references for implementing relevant interventions. Methods A total of 149 787 residents(≥ 15 years old) were randomly selected using random cluster sampling in southeast area of Guizhou province and surveyed with a face-to-face interview, routine examination for CVD,physical examination, and laboratory detections between April 2018 and March 2019. Results Among all the participants,857 CVD cases were diagnosed, with a prevalence rate of 572.15/100 000 and a standardized prevalence rate of 570.03/100 000.The results of unconditional multivariate logistic regression analysis revealed following risk factors for CVD incidence in the participants: aged 40 years and above, Miao nationality, Tujia nationality, household annual income > 10 000 RMB yuan per capita, family history of CVD, overweight, obesity, smoking, alcohol drinking, long-term stress or anxiety,air pollution of residential environmen, hypertension, diabetes, and hyperlipidemia;the results indicated that protective factors against CVD incidence were as following: being female, Buyi nationality, Dong nationality, being a worker, being a professional staff,being a cadre, being an attendant in public entertainment place, being a business man, living in rural area, with normal body weight, tea drinking, having physical exercise, with preference for acid food, consumption of dairy products, and consumption of vegetable and fruit. Conclusion The prevalence of CVD is relatively high and mainly influenced by gender,age, nationality, educational level, occupation, household annual income per capita, family CVD history, place of residence,body mass index, smoking, alcohol consumption, tea drinking, physical exercise, dietary pattern,type of food consumed,long-term stress or anxiety, air pollution in residential environment, hypertension, diabetes, and hyperlipidemia among the reside
作者
周棉勇
管慧
张灵慧
欧阳先明
龙宪军
程坤
杨勇
杨秀科
ZHOU Mian-yong;GUAN Hui;ZHANG Ling-hui(Department of Medicine,The Hosptial of Traditional Chinese Medicine of Qiannan Prefecture,Duyun,Guizhou Province 558000,China;不详)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2020年第8期1121-1127,共7页
Chinese Journal of Public Health
基金
贵州省中医药管理局资助课题(QZYY2018051)。
