摘要
目的了解吉林省居民心血管病高危人群流行病学特征,对心血管病相关影响因素进行分析,为全省心血管病防控策略提供参考依据。方法本研究于2017-2018年采用多阶段分层整群抽样的方法,选定吉林省6个项目地区,以社区或村为单位开展筛查。心血管病相关影响因素分析采用单因素、多因素Logistic回归分析模型,回归方法采用进入法,效应值用OR值及其95%CI值来表示。结果2017-2018年吉林省心血管病高危检出率为24.3%,标化后高危检出率为21.6%。其中,城市居民较农村居民具有较高的心血管病高危检出风险(OR=1.16,95%CI:1.029~1.306,P=0.015);55~岁年龄组高危检出风险是35~岁年龄组的3.237倍(95%CI:2.760~3.797,P<0.001);高中和中专、大专及以上文化程度者更易成为心血管病高危人群(OR=1.499,95%CI:1.283~1.753,P<0.001;OR=1.539,95%CI:1.240~1.910,P<0.001);职业为行政人员者较农民更不易发展为心血管病高危人群(OR=0.656,95%CI:0.502~0.858,P=0.002);10000~、25000~元家庭年收入水平者较<10000元收入水平者易成为心血管病的高危人群;吸烟者、饮酒者心血管病高危检出风险是非吸烟者、非饮酒者的1.822、1.303倍(OR=1.822,95%CI:1.617~2.053,P<0.001;OR=1.303,95%CI:1.090~1.559,P=0.004);随体重指数(body mass index,BMI)分级指数升高,心血管病的高危检出风险随之升高。结论应重点关注城市居民、高年龄组、文化程度较高者、中低等水平收入者、吸烟者、饮酒者、超重者、肥胖者,应重点加强对心血管病的一级预防及二级预防,降低心血管病发病率和所带来的疾病负担。
Objective To understand the epidemiological characteristics of high-risk population of cardiovascular disease in Jilin Province,and analyze the related influencing factors of cardiovascular disease,so as to provide reference for the prevention and control strategy of cardiovascular disease in Jilin Province.Methods Cardiovascular disease is a group of chronic non-communicable diseases involving the circulatory system,including hypertension,stroke,myocardial infarction and other diseases.In this study,6 project areas in Jilin Province were selected by multi-stage stratified cluster sampling method from 2017 to 2018,and the screening was carried out in communities or villages.Univariate and multivariate Logistic regression analysis was used to analyze the related influencing factors of cardiovascular disease.The regression method was used for the entry method,and the effect value was expressed by OR and 95%CI.Results From 2017 to 2018,the high-risk detection rate of cardiovascular diseases in Jilin Province was 24.3%,and the high-risk detection rate after standardization was 21.6%.Among them,urban residents had a higher risk of cardiovascular disease than rural residents(OR=1.16,95%CI:1.029-1.306,P=0.015);the risk of high-risk detection in 55-year-old group was 3.237 times higher than that in 35-year-old group(95%CI:2.760-3.797,P<0.001);those with high school education,technical secondary school education,college education or above were more likely to become high-risk groups of cardiovascular disease(OR=1.499,95%CI:1.283-1.753,P<0.001;OR=1.539,95%CI:1.240-1.910,P<0.001);the administrative staff were less likely to develop into high-risk groups of cardiovascular disease than farmers(OR=0.656,95%CI:0.502-0.858,P=0.002);those with annual family income of 10000~,25000~yuan were more likely to become the high risk group of cardiovascular disease than those with income level of less than 10000 yuan;the risk of cardiovascular disease in smokers and drinkers was 1.822 and 1.303 times higher than that in non-smokers and non
作者
付尧
刘思洁
刘婷
侯筑林
李璐
贾淯媛
FU Yao;LIU Si-jie;LIU Ting;HOU Zhu-lin;LI Lu;JIA Yu-yuan(Prevention of Chronic Non-communicable Diseases,Jilin Provincial Center for Disease Control,Changchun 130062,China)
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2020年第11期1297-1301,共5页
Chinese Journal of Disease Control & Prevention
关键词
心血管病
高危人群
筛查
危险因素
Cardiovascular disease
High-risk population
Screening
Risk factors
