Abstract
张婷,周倩,钱永刚,周景,伍思佳,王培玉,刘爱萍.内蒙古自治区流动人口高甘油三酯/低高密度脂蛋白胆固醇型血脂异常现况调查[J].Chinese journal of Epidemiology,2017,38(7):902-905
内蒙古自治区流动人口高甘油三酯/低高密度脂蛋白胆固醇型血脂异常现况调查
A cross-sectional study on dyslipidemia in migrants in Inner Mongolia Autonomous Region
Received:November 02, 2016  
DOI:10.3760/cma.j.issn.0254-6450.2017.07.011
KeyWord: 血脂异常  流动人口  患病率
English Key Word: Dyslipidemia  Migrants  Prevalence
FundProject:中国慢性病及其危险因素监测(2012)流动人口专题调查
Author NameAffiliationE-mail
Zhang Ting School of Public Health, Peking University, Beijing 100191, China  
Zhou Qian School of Public Health, Peking University, Beijing 100191, China  
Qian Yonggang Inner Mongolia Autonomous Region Center for Disease Control and Prevention, Hohhot 100020, China  
Zhou Jing School of Public Health, Peking University, Beijing 100191, China  
Wu Sijia School of Public Health, Peking University, Beijing 100191, China  
Wang Peiyu School of Public Health, Peking University, Beijing 100191, China  
Liu Aiping School of Public Health, Peking University, Beijing 100191, China apingliu@163.com 
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Abstract:
      目的 了解内蒙古自治区流动人口血脂异常患病现状。方法 采用按行业分层多阶段整群抽样方法,对内蒙古自治区来自5个调查点的制造业、批发零售业、住宿餐饮业、社会服务业、建筑业及其他6类行业 ≥ 18岁就业流动人口进行等额抽样,共1 501名流动人口进行问卷调查、身体测量、实验室检测。结果 调查资料完整的1 496人列为研究对象,血脂异常患病率为42.65%(638/1 496),年龄标化患病率为42.05%;高TC血症、高TG血症、混合型高脂血症、低HDL-C血症患病率分别为4.90%(73/1 491)、14.76%(220/1 491)、4.83%(72/1 496)、25.27%(378/1 496)。以TG增高(HTG)、高密度脂蛋白胆固醇降低(LHDL-C)为特点的血脂异常(HTG/LHDL-C型血脂异常)占主要比例(81.97%,523/638)。血脂异常与HTG/LHDL-C型血脂异常分布特点略有差异;其中男性患病率高于女性、不同性别间患病率随年龄增加而增高及其他行业人群患病率最高的特征相同;但不同之处为HTG/LHDL-C型血脂异常患病率随人口流动时间延长变化不明显,其中TG增高的总人群、<45岁人群患病率随流动时间延长逐渐增高,血脂异常总人群患病率随流动时间延长逐渐增高。结论 内蒙古自治区流动人口血脂异常患病率高,以HTG/LHDL-C型血脂异常为主,男性较女性患病率更高,中老年和其他行业患病率最高,流动时间更长的流动人口血脂异常患病率对流动人口患病率贡献较大。
English Abstract:
      Objective To investigate the prevalence of dyslipidemia in migrants in Inner Mongolia Autonomous Region. Methods A stratified multi-stage cluster equal size sampling was performed among the migrants aged ≥ 18 years who were engaged in manufacturing, wholesale retail, accommodation and catering service, social service, construction and other and 1 501 migrants from five area in Inner Mongolia Autonomous Region was investigated by means of questionnaires survey, physical measurements and laboratory detection. Results Complete data was obtained in 1 496 study subjects. The prevalence of dyslipidemia was 42.65% (638/1 496), the age-standardized prevalence was 42.05%; the prevalence of hypercholesterolemia, hypertriglyceridemia, combined hyperlipidemia and low high-density lipoprotein hyperlipidemia were 4.90% (73/1 491), 14.76% (220/1 491), 4.83%(72/1 496), 25.27% (378/1 496), respectively. Dyslipidemia characterized by high triglyceride (HTG) and low high-density lipoprotein cholesterol (LHDL-C) accounted for 81.97%(523/638). The prevalence of dyslipidemia and HTG/LHDL-C dyslipidemia were similar, which increased significantly with age in both females and males, but was significantly higher in males. The prevalence among migrants with other occupations was highest. The prevalence of HTG/LHDL-C dyslipidemia didn't significantly increase with the duration of migration. However, the prevalence of high TG and dyslipidemia increased significantly with the duration of migration, the prevalence of high TG in age group <45 years showed the same characteristics. Conclusions The prevalence of dyslipidemia in migrants in Inner Mongolia was high, and the main form was HTG/LHDL-C dyslipidemia. The prevalence in males, the middle aged and aged as well as those with other occupations were high. Migrants with longer duration of migration had higher prevalence of dyslipidemia.
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