河北省邢台市干部职工冠心病危险因素及归因分析

Risk factors and attribution analysis of coronary heart disease among cadres and workers in Xingtai City,Hebei Province

目的归因分析河北省邢台市干部职工冠心病的危险因素。方法自行设计流行病学调查表,对河北省邢台市20232名在职和离退休干部职工进行问卷调查、体格检查和生化检测。对冠心病患病率的比较应用χ2检验,危险因素应用logistic回归分析。结果河北省邢台市干部职工冠心病的患病率为4.56%(924/20232)。青年期男性冠心病的患病率高于女性,差异有统计学意义(χ2=40.273,P=0.000)。到中年和老年以后,男性冠心病的患病率与女性冠心病的患病率基本接近,差异均无统计学意义(χ2=2.860,1.481,P=0.091,0.224)。总体冠心病的患病率男性高于女性,差异有统计学意义(χ2=12.561,P<0.001)。冠心病患病的危险因素为年龄(OR=4.489)、性别(OR=4.452)、血脂异常(OR=41.961)、高血压(OR=68.196)、糖尿病(OR=13.851)、肥胖(OR=23.576)、吸烟(OR=17.193)、饮酒(OR=4.305)、运动量小(OR=3.342)、高脂饮食(OR=23.007)、高糖饮食(OR=20.395)、髙盐饮食(OR=6.867)、嗜好饱食(OR=12.016)和家族史(OR=13.471)。结论河北省邢台市干部职工冠心病的患病率较高,冠心病的患病与危险因素密切相关。

Objective To investigate the risk factors and attribution analysis of coronary heart disease(CHD)among cadres and workers in Xingtai City.Methods By using self designed epidemiological questionnaire,a questionnaire survey was conducted among 20232 in-service and retired cadres and workers in Xingtai city of Hebei province,and physical examination and biochemical detection were done at the same time.χ2 test was used to compare the prevalence of CHD,the related factors were analyzed by logistic regression analysis.Results The prevalence of CHD among cadres and workers in Xingtai,Hebei was 4.56%(924/20232).The prevalence of CHD in young men was higher than that in females,The difference was statistically significant(χ2=40.273,P<0.001).At middle age and old age,the prevalence of male CHD was almost the same as that of female CHD,the difference was not statistically significant(χ2=2.860,1.481,P=0.091,0.224).The prevalence of overall CHD was higher in males than in females,the difference was statistically significant(χ2=12.561,P<0.001).The risk factors for CHD were age(OR=4.489),Gender(OR=4.452),dyslipidemia(OR=41.961),hypertension(OR=68.196),diabetes(OR=13.851),obesity(OR=23.576),smoking(OR=17.193),drinking(OR=4.305),lack of exercise(OR=3.342),high fat diet(OR=23.007),high sugar diet(OR=20.395),high salt diet(OR=6.867),addiction Good satiation(OR=12.016)and family history(OR=13.471).Conclusions The prevalence of CHD among cadres and workers in Xingtai city of Hebei province is relatively high,the prevalence of CHD is closely related to the influencing factors.