云南省玉龙县纳西族心血管疾病危险因素聚集性的社会经济影响研究

Socioeconomic Influence on Clustering of Cardiovascular Risk Factors among Naxi Ethnic Minority in Yulong County of Yunnan Province

目的分析云南省玉龙县纳西族居民心血管疾病危险因素聚集性的社会经济影响因素.方法采用分层随机抽样的方法抽取1 402名≥35岁的纳西族村民进行问卷调查和现场体检.结果该地村民超重、肥胖、中心性肥胖、吸烟、饮酒、心血管疾病家族史、高盐饮食、被动吸烟、生活压力、情绪低落和缺乏体力活动的检出率、高血压和糖尿病的患病率分别为26.0%、8.9%、39.5%、32.9%、24.5%、10.34%、27.4、21.8%、9.3%、5.2%、32.2%,26.2%和4.1%;仅有6.2%的纳西族居民无心血管疾病危险因素聚集性;男性具有3个及以上危险因素的比例大于女性(P<0.01);户主、文化程度越高者和综合社会经济地位越高者的纳西族居民的心血管疾病危险因素聚集度越低(P<0.05).结论云南省纳西族居民存在较高的心血管疾病危险因素聚集性.应重点加强低社会经济地位以及低受教育水平纳西族居民的心血管疾病的预防和干预工作.

Objective To analyze the socioeconomic influencing determinants of cardiovascular disease（CVD） risk factors among Naxi ethnic minority in Yulong county of Yunnan province. Methods Stratified random sampling was used to select a representative sample of 1402 Naxi ethnic minority aged 35 and over from Yulong county. Information was obtained from a cross-sectional questionnaire and health examination survey. Results The overall prevalence rates of overweight,obesity,central obesity,smoking,alcohol drinking, prevalence rates of CVD, high salt diet, secondhand smoke（SHS） exposure, life pressure, depression, physical inactivity,hypertension and diabetes were 26.0%,8.9%, 39.5%,32.9%,24.5%,10.34%, 27.4, 21.8%, 9.3%,5.2%,32.2%,26.2% and 4.1%,respectively. The proportion of Na Xi subjects without clustering of CVD risk factors was only 6.2%. The proportion of clustering of more than 3 risk factors was higher in men than in women（P〈0.01）. Householder, people with higher level of education and higher socioeconomic position had lower level of clustering of CVD risk factors（P〈0.05）. Conclusions The findings indicate a higher level of clustering of CVD risk factors among Naxi ethnic minority people in Yunnan province. Future prevention and intervention strategies of CVD should be focused on individuals with low socioeconomic position and low level of education.