| 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].Chinese journal of Epidemiology,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 |
| Received:October 29, 2022 |
| DOI：10.3760/cma.j.cn112338-20220523-00451 |
| KeyWord: 高血压 糖尿病 血脂异常 共病 影响因素 |
| English Key Word: Hypertension Diabetes Dyslipidemia Comorbidity Influencing factors |
| FundProject:国家重点研发计划（2018YFC1311706，2018YFC1311702） |
| Author Name | Affiliation | E-mail | | Yu Ning | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Zhang Mei | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Zhang Xiao | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Zhao Zhenping | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Li Chun | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Huang Zhengjing | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Gao Xingxing | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
School of Public Health, Baotou Medical College, Baotou 014040, China | | | Zhang Wenrong | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Yu Mengting | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Zhang Yushu | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
Department of Health Statistics, School of Public Health, China Medical University, Shenyang 110122, China | | | Deng Xiaoqing | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
Department of Health Statistics, School of Public Health, China Medical University, Shenyang 110122, China | | | Wang Limin | Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China | wanglimin@ncncd.chinacdc.cn |
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| Abstract: |
| 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。 |
| English Abstract: |
| 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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