| 吴洵,覃玉,崔岚,苏健,陈路路,陶然,周金意,武鸣.江苏省居民心血管病高危人群流行病学特征及其影响因素分析[J].Chinese journal of Epidemiology,2022,43(1):78-84 |
| 江苏省居民心血管病高危人群流行病学特征及其影响因素分析 |
| Epidemiological characteristics and influencing factors for high risk cardiovascular disease population in Jiangsu province |
| Received:February 01, 2021 |
| DOI：10.3760/cma.j.cn112338-20210201-00083 |
| KeyWord: 心血管病 高危人群 检出率 危险因素 |
| English Key Word: Cardiovascular disease High-risk population Detection rate Risk factor |
| FundProject:国家重大公共卫生项目 |
| Author Name | Affiliation | E-mail | | Wu Xun | School of Public Health, Nanjing Medical University, Nanjing 211166, China
Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China | | | Qin Yu | Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China | | | Cui Lan | Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China | | | Su Jian | School of Public Health, Nanjing Medical University, Nanjing 211166, China
Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China | | | Chen Lulu | Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China | | | Tao Ran | Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China | | | Zhou Jinyi | Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China | | | Wu Ming | School of Public Health, Nanjing Medical University, Nanjing 211166, China
Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China | jswuming@vip.sina.com |
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| Abstract: |
| 目的 了解江苏省心血管病（CVD）高危人群检出类型和聚集情况以及相关影响因素，为CVD防控提供参考依据。方法 对纳入筛查的120 211名对象，通过问卷调查、体格检查和生化检测收集相关资料信息。统计学分析采用χ2检验和多因素logistic回归分析。结果 研究对象CVD高危检出率为25.03%，其中高血压型、血脂异常型、CVD史型和WHO评估患病风险≥20%型检出率分别为19.01%、4.85%、3.18%和5.31%。男性、农村、年龄增长、文化程度低、家庭年收入低、饮酒、腰围超标、超重和肥胖都是CVD高危的危险因素（均P < 0.01）。CVD不同高危类型的聚集1、2、≥3种高危类型聚集的构成比分别为74.01%、22.91%、3.08%。年龄、农村居民、文化程度、家庭年收入随着聚集种类的增多，关联强度也在不断增强。结论 江苏省CVD的防控应根据不同影响因素采取针对性的措施，争取达到以最小的花费取得最大的防控成效。 |
| English Abstract: |
| Objective To investigate the detection types and aggregation of high-risk population of cardiovascular disease (CVD) in Jiangsu province and the related influencing factors to provide reference for the prevention and control of cardiovascular disease.Methods A total of 120 211 participants were included in the investigation. Information was collected by questionnaire based survey, physical examination and biochemical tests. χ2 test and multivariate logistic regression were used for statistical analysis.Results The detection rate of CVD high risk was 25.03%. The detection rates were 19.01%, 4.85%, 3.18% and 5.31% for hypertension, dyslipidemia, cardiovascular history and WHO assessed risk ≥20% types, respectively. Male, rural, old age, low education level, low family income, drinking, waist circumference exceeding standard, overweight and obesity were risk factors of CVD (all P < 0.01). The composition ratios of aggregation of 1, 2 and ≥3 high risk types of CVD were 74.01%, 22.91% and 3.08%, respectively. With the increase of aggregation types, the correlation strength increased with age, rural residents, education level and annual family income.Conclusion Targeted measures should be carried out according to different influencing factors for the prevention and control of CVD in Jiangsu province in order to achieve the maximum prevention and control effect with the minimum cost. |
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