海水淡化水饮用典型地区高脂血症患病现状调查及影响因素分析

Investigation of hyperlipidemia and correlated factors in typical areas using desalinated seawater as drinking water:a cross-sectional study

目的了解海水淡化水饮用典型地区高脂血症的流行情况及影响因素。方法于2015年5月,采用等比例多阶段分层整群抽样方法抽取浙江省舟山市某县5个乡镇15个社区（居委会）20岁以上的常住居民共2 219人进行问卷调查,了解当地居民高脂血症患病情况及行为和饮食等影响因素,所得数据采用χ~2检验、非条件logistic多因素回归进行分析。结果调查人群中高脂血症患病率为3.56%,经logistic多因素回归分析,其危险因素主要为家族史、高血压、糖尿病、吸烟和肥胖,其OR值（95%CI）依次为8.07（3.52~18.46）、6.34（3.77~10.68）、3.48（1.64~7.41）、2.96（1.77~4.96）和1.59（1.27~2.00）。本次研究中海水淡化水暴露与高脂血症患病无统计学关联。结论本次调查人群高脂血症发生与人群生活方式密切相关,与饮用淡化水无明显关联。应进一步控制血压、体重、吸烟等危险因素。

Objective To explore the prevalence and the risk factors of hyperlipidemia in typical areas using desalinated seawater as drinking water. Methods A cross sectional study was carried out in May 2015 to investigate a total of 2 219 people aged above 20 years from a certain county in Zhoushan by questionnaire for information about the prevalence rate and the influencing factor of hyperlipidemia. The data was analyzed by chi-square test and multivariate logistic regressions. Results The morbidity rate of hyperlipidemia was 3.56%. The risk factors relative to hyperlipidemia included family history（OR =8.07,95%CI：3.52-18.46）,hypertension（OR=6.34,95%CI：3.77-10.68）,diabetes（OR=3.48,95%CI：1.64-7.41）,smoking（OR=2.96,95%CI：1.77-4.96） and obesity（OR=1.59,95%CI：1.27-2.00）. No significant relation was observed between the exposure to desalinated seawater and hyperlipidemia. Conclusion Hyperlipidemia is closely related to the lifestyle of local people. No significant relation was found between desalination seawater drinking and hyperlipidemia in the investigated areas.