交通警察高脂血症患病情况及其影响因素分析

Prevalence of hyperlipemia and its potential risk factors among traffic police

[目的]分析某市交通警察高脂血症患病情况及其相关影响因素,为减少该职业人群高脂血症的发生提供参考。[方法]选择某市2015年参加体检的2 228名交通警察作为研究对象,通过问卷调查方式完成现场调查,对高脂血症的相关危险因素进行非条件logistic回归分析。[结果]研究人群以男性为主(占89.10%),平均年龄为(41.33±7.51)岁,高脂血症粗患病率为39.67%。高脂血症粗患病率有随年龄增长而增高的趋势(P<0.01);不同年龄段人群甘油三酯、总胆固醇、高密度脂蛋白胆固醇平均水平差异均有统计学意义(P<0.05)。同体质量指数正常相比,超重(OR=2.25,95%CI:1.85~2.72)、肥胖(OR=3.12,95%CI:2.18~4.42)可能是患高脂血症的危险因素;同女性、无高尿酸血症及空腹血糖<5.6 mmol/L分别相比,男性(OR=2.55,95%CI:1.77~3.67)、高尿酸血症(OR=1.64,95%CI:1.36~1.99)以及空腹血糖≥7.0 mmol/L(OR=2.80,95%CI:1.81~4.33)均可能是患高脂血症的危险因素;同20~29岁相比,30~39岁(OR=1.86,95%CI:1.25~2.76)、40~49岁(OR=2.34,95%CI:1.60~3.42)、≥50岁(OR=3.06,95%CI:1.99~4.71)均可能是患高脂血症的危险因素。[结论]某市交通警察高脂血症患病率较高,应加强对他们的健康教育,以减少高脂血症的发生。

[Objective] The prevalence and risk factors of hyperlipemia among traffic police in a city was surveyed,in order to reduce the incidence of hyperlipemia in this occupational population. [Methods] The potential risk factors of hyperlipemia of2 228 traffic police who participated in the physical examination in 2015 were surveyed with questionnaire. The multivariate logistic regression analysis was used to show the risk factors. [Results] Totally 89.1% of study population were males and the average age was（41.33 ± 7.51） years. The crude prevalence of hyperlipemia was 39.67% and there was a trend that crude prevalence of hyperlipemia increased with age（P〈 0.01）;the difference of average serum triglyceride,total cholesterol,or HDL-C in different age groups was statistically significant（P〈 0.05）. It showed that overweight（OR =2.25,95% CI：1.85-2.72）,obesity（OR = 3.12,95%CI：2.18-4.42）,hyperuricemia（OR = 1.64,95%CI：1.36-1.99）,and fasting blood glucose more than 7.0 mmol/L（OR = 2.80,95%CI：1.81-4.33）were the risk factors for hyperlipemia,after the effects of age and gender were controlled. [Conclusion] The prevalence of hyperlipemia was high among traffic police. We should pay attention to their health status,and strengthen their health education to reduce the incidence of hyperlipemia.