河南省新乡县农村居民胆结石患病情况及其影响因素分析

Prevalence and influencing factors of gallstone disease among rural adult residents:a cross-sectional survey in Xinxiang county,Henan province

目的了解河南省新乡县农村居民胆结石患病情况及其影响因素,为胆结石的预防控制提供科学依据。方法于2017年4—6月采用多阶段随机整群抽样方法在新乡县七里营和朗公庙2个乡镇共17个行政村抽取9511名≥18岁农村成年居民进行问卷调查、体格检查、实验室检测和腹部超声检查。结果新乡县最终调查的9461名农村成年居民中,患胆结石者299例,胆结石患病率为3.16%,标化患病率为2.28%;多因素非条件logistic回归分析结果显示,年龄≥45岁、中心性肥胖和脂肪肝为新乡县农村居民胆结石患病的危险因素,饮酒为新乡县农村居民胆结石患病的保护因素。结论河南省新乡县农村居民胆结石患病率较低,年龄、是否饮酒、是否中心性肥胖和是否脂肪肝是该地区农村居民胆结石患病的主要影响因素。

Objective To examine the prevalence and influencing factors of gallstone disease among rural adults in a county of Henan province.Methods We recruited 9511 permanent rural residents aged≥18 years from 17 villages in two townships of Xinxiang county,Henan province using multi-stage random cluster sampling.Face-to-face interview,physical examination,laboratory tests,and abdominal ultrasound detection were conducted among the residents during April–June 2017.Results Among the 9461 participants completing the survey,totally 299 gallstone disease cases were identified,with a prevalence rate of 3.16%and a standardized prevalence rate of 2.28%.The results of the multivariate unconditional logistic regression showed that the participants aged≥45 years,with central obesity or fatty liver were more likely to have gallstone disease;while,drinking alcohol at least 12 times a year or more was a protective factor against the disease.Conclusion The prevalence rate of gallstone disease was relatively low and mainly influenced by age,central obesity,fatty liver,and alcohol consumption among adult rural residents in a county of Henan province.