湖北地区城乡生活方式对心血管病的影响

Influences of the Urban and Rural Lifestyle on Cardiovascular Disease in Hubei Province

目的探讨湖北地区城乡居民生活方式与心血管疾病发生率的关系。方法采用分层多阶段随机抽样对湖北省黄冈市麻城县1971名以及湖北省黄石市铁山区1925名15岁以上居民进行问卷调查和体格检查,获取基本资料和与心血管疾病相关的资料。结果城乡两地居民吸烟、饮酒、饮食类型、运动类型差异均有统计学意义,城乡两地脑卒中发生率差异也有统计学意义(P均<0.05)。Logistic回归分析显示高血压与性别、年龄、运动、肥胖(BMI)和肥胖(腰围)相关,其中保护因素有女性和运动,危险因素有中老年人、肥胖(BMI)和肥胖(腰围)。冠心病在本次调查尚未发现与各影响因素有关。中老年是影响脑卒中的危险因素。结论湖北城乡地区居民不同的生活方式导致心血管发生率的差异,可为心血管病的预防和治疗提供参考依据。

Objective To explore the relationship between the lifestyle of urban and rural residents in Hubei area and the morbidity of cardiovascular diseases. Methods Apply a stratified multistage random sampling to select 1971 residents in Tieshan District, Huangshi City, Hubei Province and 1925 residents in Macheng County, Huanggang City, Hubei Province who are over 15 years old as the subjects. And questionnaire survey and physical examination were conducted to obtain the basic data and data related to cardiovascular dis- ease. Results The situation of smoking, drinking, diet and exercise between urban and rural areas were different. And the morbidity of stroke is also different （ P 〈 O. 05 ）. Logistic regression analysis showed that the morbidity of hypertension was related to the situation of exercise, age, gender, obesity （BMI） and obesity （waist）. And female and exercise were protective factors. The risk factors were the elder, obesity （BMI） and obesity （waist）. The eider are the risk factor of stoke. Conclusion Different life styles between urban and rural residents in Hubei Province lead to different morbidity of cardiovascular diseases. It can provide references for prevention and treatment of cardiovascular diseases.