文章摘要
付振东,温丹丹,王斌,薛淑莲,刘改生,李秀宏,赵智慧,王俊,魏宝国,王素萍.山西省1 337名煤矿工人血脂异常患病情况及相关因素分析[J].中华流行病学杂志,2017,38(2):163-167
山西省1 337名煤矿工人血脂异常患病情况及相关因素分析
Correlative factors on prevalence rate of dislipidemia among 1 337 coal miners in Shanxi province
收稿日期:2016-08-07  出版日期:2017-02-17
DOI:10.3760/cma.j.issn.0254-6450.2017.02.006
中文关键词: 血脂异常;煤矿工人;相关因素
英文关键词: Dislipidemia;Coal miners;Correlative factors
基金项目:山西省教育厅优势和特色重点学科建设专项子项目——山西省重大疾病特点及预防与控制对策研究(C01201007)
作者单位E-mail
付振东 030000 太原, 山西医科大学公共卫生学院流行病学教研室  
温丹丹 030000 太原, 山西医科大学公共卫生学院流行病学教研室  
王斌 030000 太原, 山西医科大学公共卫生学院流行病学教研室  
薛淑莲 030000 太原, 山西医科大学公共卫生学院流行病学教研室  
刘改生 030000 山西省太原市西山煤电集团职业病防治所  
李秀宏 030000 山西省太原市西山煤电集团职业病防治所  
赵智慧 030000 山西省太原市西山煤电集团职业病防治所  
王俊 030000 山西省太原市西山煤电集团职业病防治所  
魏宝国 030000 山西省太原市西山煤电集团职业病防治所  
王素萍 030000 太原, 山西医科大学公共卫生学院流行病学教研室 spwang88@163.com 
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中文摘要:
      目的 了解山西省煤矿工人血脂异常患病情况并分析其相关因素。方法 收集2016年4月在山西省太原市某煤矿1 337名工人体格检查与血液生化指标检测资料;按照2007年《中国成人血脂异常防治指南》诊断标准作为血脂异常的判定标准;采用χ2检验和非条件logistic回归模型对该煤矿工人血脂异常相关因素进行分析。结果 1 337例煤矿工人血脂异常总患病率为59.1%(790/1 337),其中男性患病率为60.4%(708/1 173),女性患病率为50.0%(82/164),男性患病率高于女性(χ2=6.386,P<0.05);20~34、35~49和≥50岁工人患病率分别为68.8%、58.7%和49.5%,20~34岁年龄组患病率最高。χ2检验结果显示,煤矿工人性别、年龄和BMI是血脂异常的相关因素(χ2=7.117,P<0.01;χ2=37.135,P<0.01;χ2=7.009,P<0.05);非条件logistic回归分析结果显示,该煤矿工人性别、年龄、BMI水平、收缩压≥140 mmHg(1 mmHg=0.133 kPa)与血脂异常存在关联(P<0.05);与女性矿工相比,男性矿工患血脂异常的风险是女性矿工的1.501倍(OR=1.501,95%CI:1.895~2.516);从年龄分组看,35~49岁组、20~34岁组血脂异常患病风险分别为≥50岁组的1.672倍(OR=1.672,95%CI:1.501~2.392)和2.369倍(OR=2.369,95%CI:1.275~3.469);较正常BMI组,高BMI组血脂异常患病风险为其1.443倍(OR=1.443,95%CI:1.139~1.828);收缩压异常组血脂异常患病风险为正常组的1.829倍(OR=1.829,95%CI:1.152~2.906);而舒张压、血糖、血尿酸、心电图检测结果与血脂异常的差异均无统计学意义。结论 该煤矿工人血脂异常患者主要为20~34岁男性,有高血压(收缩压异常)病史、高BMI(≥24.0 kg/m2)的该煤矿工人患血脂异常可能性较大,需要引起重视。
英文摘要:
      Objective To understand the prevalence rate and correlative factors of dislipidemia among Shanxi coal miners and to provide evidence for the development of programs on dislipidemia prevention. Methods We investigated 1 337 mine workers from a Coal Group in April 2016 and collected data related to their blood biochemistry. We then classified the types in accordance with the diagnostic criteria of "Guidelines for prevention and treatment of dyslipidemia in Chinese adults (2007)", using χ2 test and unconditional logistic regression model for analysis. Results The overall prevalence rate of Dislipidemia was 59.1% (790/1 337), with males as 60.4% (708/1 173) and females as 50.0%(82/164) while males appeared higher (χ2=6.386, P<0.05). Among the 20-34, 35-49, 50 and above year-old groups, the rates were 68.8%, 58.7%, 49.5%, respectively. Results from the χ2 test showed that gender, age and body mass index were the influencing factors on dislipidemia (χ2=7.117, P<0.01; χ2=37.135, P<0.01; χ2=7.009, P<0.05), while logistic regression analysis showed that sex, age, body mass index level, systolic blood pressure were significantly associated with dislipidemia (P<0.05). Male miners appeared 1.501 times (OR=1.501, 95%CI:1.895-2.516) higher than female miners in suffering from the risk of dyslipidemia. In different age groups, risks of dyslipidemia in the 35-49, 20-34 year-old groups were 1.672 (OR=1.672, 95%CI:1.501-2.392) and 2.369 times (OR=2.369, 95%CI:1.275-3.469) higher than the 50 year-old. Group that with high BMI, the risk of dyslipidemia was 1.443 times (OR=1.443, 95%CI:1.139-1.828) higher than the normal BMI group. Group with abnormal systolic pressure was 1.829 times (OR=1.829, 95%CI:1.152-2.906) higher than normal systolic pressure group. However, diastolic blood pressure, blood sugar, uric acid, and electrocardiogram findings did not seem to show statistically significant meanings on dislipidemia. Conclusion Among the coal mine workers, those who were males, aged from 20 to 34, having high blood pressure (systolic blood pressure abnormalities) or with high BMI (≥24.0 kg/m2) need to be taken special attention on care and prevention of dislipidemia.
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