2016—2020年河北省35~75岁居民心血管病高危人群检出情况及其影响因素分析

Prevalence and influencing factors of individuals at high risk of cardiovascular disease in 35-75 years old residents in Hebei province,2016-2020:a cross-sectional survey

目的了解河北省35~75岁居民心血管病(CVD)高危人群检出情况及其影响因素,为当地居民CVD的防治提供参考依据。方法于2016年9月—2020年11月采用分层随机整群抽样方法在河北省11个CVD高危人群早期筛查与综合干预项目点抽取140632名35~75岁常住居民进行问卷调查、体格检查及血糖和血脂检测,分析CVD高危人群检出情况及其影响因素。结果河北省最终纳入分析的137115名35~75岁居民中,检出CVD高危人群33297人,CVD高危人群检出率为24.3%;多因素非条件logistic回归分析结果显示,年龄50~75岁、居住在农村、吸烟、肥胖、高血压、糖尿病和血脂异常是河北省35~75岁居民CVD高危人群检出的危险因素,女性和初中文化程度是河北省35~75岁居民CVD高危人群检出的保护因素。结论河北省35~75岁居民CVD高危人群检出率相对较高,性别、年龄、文化程度、居住地、吸烟情况及是否肥胖、高血压、糖尿病和血脂异常是当地35~75岁居民CVD高危人群检出的主要影响因素。

Objective To detect individuals at high risk of cardiovascular disease(CVD)and to explore influencing factors of the risk among 35-75-year-old residents in Hebei province for prevention and treatment of CVD in the population.Methods Totally 140632 permanent residents aged 35-75 years were recruited with stratified random cluster sampling in 11 districts/counties/prefectures covered by the CVD high-risk population screening and comprehensive intervention program across Hebei province.Face-to-face interview with a questionnaire designed by domestic researchers,physical examination,and detections of serum lipids and fasting blood glucose were conducted among the participants from September 2016 through November 2020.The CVD risk was evaluated based on any of the followings:history of cardiovascular and cerebrovascular diseases,hypertension,dyslipidemia and with 10-year risk of≥20%for CVD assessed according the‘risk prediction charts’published by World Health Orgaization.The detection rate of individuals at high risk of CVD and influencing factors of CVD risk were analyzed.Results Among the 137115 participants(97.50%of all residents surveyed)with eligible responses,33297(24.3%)were assessed as being at high CVD risk.The results of multivariate unconditional logistic regression analysis showed that aged 50 years and above,living in rural areas,smoking,hypertension,diabetes,dyslipidemia,and obesity were risk factors of having a high-risk of CVD,while,being female and with the education of junior middle school were protective factors against CVD risk among 35-75 years old residents in Hebei province.Conclusion The proportion of individuals at high risk of CVD is relatively high and the risk is mainly influenced by gender,age,education,living residence,hypertension,diabetes,dyslipidemia,and obesity among 35-75-year-old residents in Hebei province.