湘西少数民族地区血脂异常患病情况及其影响因素

Prevalence and determinants of dyslipidemia in Xiangxi minority areas

目的了解湘西少数民族地区血脂异常患病情况及其影响因素,为该地血脂异常的防控提供科学依据。方法采用多阶段随机抽样方法抽取湘西少数民族地区≥30岁的880名居民进行调查,并采用多因素logistic回归分析模型分析血脂异常可能的影响因素。结果湘西少数民族地区人群血脂异常患病率为38.8%,高TC血症、高TG血症、低HDL-C血症和高LDL-C血症患病率分别为7.6%、18.1%、23.2%和3.9%。多因素logistic回归分析模型分析结果显示,糖尿病(OR=1.675)和中心性肥胖(OR=2.316)是血脂异常的危险因素,高强度体力活动(OR=0.715)和年龄≥60岁(OR=0.616)是血脂异常的保护因素。结论湘西少数民族地区血脂异常率较高,应采取积极有针对性的措施开展血脂异常的防控工作。

Objective To understand the prevalence of dyslipidemia and its determinants in Xiangxi minority areas and to provide scientific information for the prevention and control of dyslipidemia.Methods Using the multi-stage random sampling method,880 residents≥30 yeas old in Xiangxi minori-ty areas were selected for investigation.Meanwhile,the multivariate logistic regression model was used to analyze the possible determinants.Results The prevalence of dyslipidemia was 38.8%,and the preva-lence of high total cholesterol,high triglyceride,low high-density lipoprotein cholesterol,and high low-density lipoprotein cholesterol were 7.6%,18.1%,23.2%,and 3.9%,respectively.Multivariate logistic regression analysis showed that diabetes mellitus(OR=1.675)and central obesity(OR=2.316)were risk factors for dyslipidemia.While high-intensity physical activity(OR=0.715)and age≥60 years old(OR=0.616)were protective factors for dyslipidemia.Conclusions The prevalence of dyslipidemia is high in Xiangxi minority areas,active and targeted measures should be taken to control dyslipidemia.