2017年北京市西城区社区心血管病危险因素及聚集情况

Clustering of cardiovascular risk factors in urban community of Xicheng, Beijing,2017

目的了解北京市西城区社区居民心血管病危险因素流行和聚集情况,为制定符合本地区心血管病防治策略提供科学依据。方法对调查地8829名35~75岁居住6个月以上的居民开展横断面调查,通过问卷调查、实验室检查和体格检查收集资料并进行分析。结果西城区社区居民高血压、糖尿病、血脂异常、吸烟、超重及肥胖等心血管病危险因素患病(异常)率分别为36.2%、15.2%、48.4%、17.3%和64.3%;有9.5%的人群没有任何心血管病危险因素;23.5%、29.0%、38.0%的人群分别有1种、2种、≥3种心血管病危险因素;男性暴露≥1种、≥2种、≥3种危险因素分别是女性的2.81、2.11和2.00倍。65~75岁人群暴露≥1种、≥2种、≥3种危险因素分别是35~44岁组的7.58、5.79、5.26倍。结论西城区社区居民心血管病危险因素及聚集暴露率较高,需要开展综合干预措施,重点关注男性和高年龄群体。

Objective To investigate the prevalence and clustering status of cardiovascular risk factor in Xicheng district,Beijing,and to provide the necessary scientific evidence for cardiovascular disease prevention of Xicheng district. Methods In this cross-sectional study,a total of 8 829 community residents aged 35 to 75 years were included. Questionnaires,laboratory test and physical examination were conducted. Results The prevalence of hypertension,diabetes, dyslipidemia,smoking,overweight or obesity in Xicheng district were 36. 2%,15. 2%,48. 4%,17. 3% and 64. 3%, respectively. The proportion of subjects free of cardiovascular risk factors was 9. 5%. Among all subjects investigated,23. 5%, 29. 0% and 38. 0% had 1,2 and ≥3 cardiovascular risk factors respectively. Comparing with the female,the odds ratios for the male who had ≥1,≥2 and ≥3 risk factor clustering were 2. 81,2. 11 and 2. 00. Comparing with the female,the odds ratios for the male that had ≥1,≥2 and ≥3 risk factor clustering were 2. 81,2. 11 and 2. 00. The odds ratios of ≥1,≥2 and ≥3 risk factor clustering were 7. 58,5. 79 and 5. 26 in the age group 65-75. Conclusions This study showed high prevalence of major cardiovascular risk factors in urban community of Xicheng district.More attentions should be paid on the male and older population. Also,multiple strategies for intervention should be considered.