安徽省2020年14个县(区)成年居民冠心病患病现状及其相关影响因素分析

Prevalence and influencing factors of coronary heart disease among adult residents infourteen counties/districts in Anhui Province in 2020

目的通过对安徽省成年居民的自报冠心病患病现状以及相关生活行为方式的调查,了解当地成年居民冠心病患病率及相关影响因素,为相关部门提供促进健康和预防冠心病的思路与对策。方法采用多阶段分层整群随机抽样的方法,抽取安徽省18岁以上成年居民进行问卷调查,调查居民冠心病现患水平和健康行为生活方式。分别采用χ^(2)检验和多因素二元logistic回归分析对冠心病患病率进行差异性分析和影响因素分析。结果共调查8279人。男性4255人,占51.4%;女性4024人,占48.6%。自报冠心病病例325例,患病率为3.9%,其中男性患病率为3.9%,女性患病率为4.0%。多因素logistic回归分析显示,60岁以上(OR=12.975,95%CI:4.062~41.444)、偏瘦(OR=2.800,95%CI:1.824~4.299)、具有冠心病家族史(OR=4.416,95%CI:2.950~6.608)、睡眠质量差(OR=1.693,95%CI:1.184~2.421)和患高血压(OR=4.257,95%CI:3.251~5.576)是安徽省成年居民冠心病患病的危险因素。结论安徽省成年居民冠心病患病水平不高,影响冠心病发病的危险因素较多,应针对性地开展健康教育,积极引导居民养成良好的生活行为方式。

Objective survey was conducted to understand the prevalence of coronary heart disease(CHD)and its influencing factors by investigating the current situation of self-reported CHD and related lifestyle behaviours among residents in Anhui Province.So as to provide relevant departments with ideas and countermeasures to prevent CHD and promote health.Methods A multi-stage stratified cluster random sampling method was used to conduct a questionnaire survey among residents over 18 years old.The current prevalence of CHD and healthy behavioral lifestyles of residents were investigated.The χ^(2) test was used to analyze the difference in the prevalence of CHD.Multivariate binary logistic regression analysis was used to analyze the factors influencing CHD.Results A total of 8,279 people were surveyed,including 4,255 males(51.4%)and 4,024 females(48.6%).There were 325 self-reported cases of CHD,with a prevalence rate of 3.9%,including 3.9%in male and 4.0% in female.The multivariate binary logistic regression analysis showed that being over 60 years old(OR=12.975,95%CI:4.062~41.444),low weight(OR=2.800,95%CI:1.824~4.299),familial disease history of CHD(OR=4.416,95%CI:2.950~6.608),poor sleep(OR=1.693,95%CI:1.184~2.421)and hypertension(OR=4.257,95%CI:3.251~5.576)were risk factors for CHD in adult residents of Anhui Province.Conclusion The prevalence of CHD among adult residents in Anhui Province is not high,however,there are many risk factors affecting the development of CHD.Hence,health education should be carried out in a targeted manner to actively guide residents to develop good lifestyle behaviors.