于宁,张梅,张笑,赵振平,李纯,黄正京,高星星,张文戎,于梦婷,张宇姝,邓晓庆,王丽敏.中国中老年居民高血压、糖尿病和血脂异常共病现状及影响因素研究[J].中华流行病学杂志,2023,44(2):196-204 |
中国中老年居民高血压、糖尿病和血脂异常共病现状及影响因素研究 |
Study on the status and influencing factors of comorbidity of hypertension, diabetes, and dyslipidemia among middle-aged and elderly Chinese adults |
收稿日期:2022-10-29 出版日期:2023-02-15 |
DOI:10.3760/cma.j.cn112338-20220523-00451 |
中文关键词: 高血压 糖尿病 血脂异常 共病 影响因素 |
英文关键词: Hypertension Diabetes Dyslipidemia Comorbidity Influencing factors |
基金项目:国家重点研发计划(2018YFC1311706,2018YFC1311702) |
作者 | 单位 | E-mail | 于宁 | 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050 | | 张梅 | 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050 | | 张笑 | 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050 | | 赵振平 | 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050 | | 李纯 | 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050 | | 黄正京 | 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050 | | 高星星 | 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050 包头医学院公共卫生学院, 包头 014040 | | 张文戎 | 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050 | | 于梦婷 | 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050 | | 张宇姝 | 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050 中国医科大学公共卫生学院卫生统计学教研室, 沈阳 110122 | | 邓晓庆 | 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050 中国医科大学公共卫生学院卫生统计学教研室, 沈阳 110122 | | 王丽敏 | 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050 | wanglimin@ncncd.chinacdc.cn |
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中文摘要: |
目的 分析我国中老年居民高血压、糖尿病及血脂异常(三高)的共病现状及影响因素,为“三高共管”提供数据支撑。方法 利用2018年中国慢性病及危险因素监测收集的相关信息,以134 950名≥45岁的常住居民作为研究对象。对样本进行复杂加权后,分析不同特征居民三高患病及共病状况;采用多因素logistic回归模型探讨三高共病的影响因素。结果 我国中老年居民高血压、糖尿病和血脂异常的患病率分别为46.0%(95%CI:45.1%~47.0%)、19.5%(95%CI:18.7%~20.2%)、43.3%(95%CI:42.3%~44.4%);高血压和糖尿病、高血压和血脂异常、糖尿病和血脂异常的共病率分别为12.3%(95%CI:11.7%~12.8%)、22.8%(95%CI:22.1%~23.4%)、11.6%(95%CI:11.1%~12.0%);三高共病率为7.6%(95%CI:7.2%~8.0%)。这些共病率均随年龄、BMI的增长呈上升趋势,城市高于农村,东北及华北地区较高(P<0.05)。高血压、糖尿病和高TC血症的共病率为1.9%(95%CI:1.7%~2.1%),高血压、糖尿病和高LDL-C血症的共病率为1.6%(95%CI:1.4%~1.7%),女性均高于男性(P<0.05)。多因素logistic回归分析结果表明:男性、年龄增长、城市、超重/肥胖、过量饮酒、身体活动不足、每日静态行为时间≥5 h和每日睡眠时间<7 h是三高共病的危险因素(P<0.05)。结论 我国中老年居民三高共病情况较常见,且具有许多共同的危险因素。危险因素综合防控、“三高共管”是中老年人群健康促进的关键措施。 |
英文摘要: |
Objective To analyze the comorbidity status and influencing factors of hypertension, diabetes, and dyslipidemia among middle-aged and elderly Chinese adults and to provide support for the "co-management of three diseases". Methods Using the relevant information collected from the National Chronic Disease and Risk Factor Surveillance in China in 2018, 134 950 permanent residents aged ≥ 45 years were selected as the research objects. After being weighed, the prevalence and comorbidity of hypertension, diabetes, and dyslipidemia in residents with different groups were compared; a multivariate logistic regression model was used to explore the influencing factors of comorbidity of the "three diseases". Results The prevalence of hypertension, diabetes, and dyslipidemia among middle-aged and elderly Chinese adults were 46.0% (95%CI:45.1%-47.0%), 19.5% (95%CI:18.7%-20.2%), 43.3% (95%CI:42.3%-44.4%), respectively. The comorbidity rates of hypertension and diabetes, hypertension and dyslipidemia, and diabetes and dyslipidemia were 12.3% (95%CI:11.7%-12.8%), 22.8% (95%CI:22.1%-23.4%),11.6% (95%CI:11.1%-12.0%), respectively; the comorbidity rate of hypertension, diabetes, and dyslipidemia was 7.6% (95%CI:7.2%-8.0%). These comorbidity rates increased with age and BMI, which was more significant in the urban areas than rural areas and more outstanding in North and Northeast China (P<0.05). The comorbidity rate of hypertension, diabetes, and higher cholesterol was 1.9% (95%CI:1.7%-2.1%). The comorbidity rate of hypertension, diabetes, and higher low-density lipoprotein was 1.6% (95%CI:1.4%-1.7%), which was higher in women than in men (P<0.05). Multivariate logistic regression results showed that male, age, city, overweight/obesity, excessive drinking, physical inactivity, daily sedentary behavior time ≥ 5 hours, and sleep duration <7 hours were risk factors for the comorbidity of the "three diseases". Conclusions The comorbidity of hypertension, diabetes, and dyslipidemia, is common among middle-aged and elderly adults in China; comprehensive prevention and control of risk factors and "co-management of three diseases" are critical measures for health promotion in middle-aged and elderly populations. |
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