辽宁省城乡居民血压水平及心血管疾病危险因素聚集情况分析

Analysis on clustering of cardiovascular disease risk factors and blood pressure level among urban and rural residents in Liaoning Province

目的了解辽宁省35~75岁城乡居民血压水平及心血管疾病危险因素聚集情况,为该地区的心血管疾病防治提供科学依据。方法研究数据来自2015年10月至2018年11月“国家心血管病高危人群早期筛查与综合干预项目”辽宁项目点。采用多阶段整群抽样的方法选取辽宁省6个项目点的常住居民50327人为调查对象,进行问卷调查、体格检查及实验室检测。应用SPSS 22.0进行t检验、方差分析、χ^(2)检验、趋势χ^(2)检验、多分类logistic回归分析。结果辽宁省35~75岁居民收缩压水平为(137.5±21.4)mm Hg,舒张压水平为(83.1±11.0)mm Hg。调查人群中83.7%的人群至少有1种以上心血管疾病危险因素。多分类logistic回归分析结果显示,农村居民1、2和≥3种心血管危险因素的聚集风险均高于城市居民(OR值分别为1.101、1.305和1.241);男性1、2和≥3种心血管危险因素的聚集风险均高于女性(OR值分别为1.801、2.383和3.423);65~75岁人群1、2和≥3种心血管危险因素的聚集风险均高于35~44岁人群(OR值分别为1.550、2.894和4.849);小学及以下人群1、2和≥3种心血管危险因素的聚集风险均高于高中及以上人群(OR值分别为1.278、1.404和1.511),均有统计学意义(P<0.01)。结论辽宁省35~75岁城乡居民血压水平较高,心血管疾病危险因素聚集性较高,应加强对男性、高龄、农村及低文化水平等重点人群的关注及综合干预。

Objective To understand the blood pressure level and clustering of cardiovascular disease(CVD)risk factors in urban and rural residents(35-75 years old)of Liaoning Province,and provide the scientific evidence for prevention and treatment of CVD in Liaoning Province.Methods The data were from the Liaoning project site of"the Programme of Screening and Intervention Subjects with High Risk Cardiovascular Diseases"from October 2015 to November 2018.The multi-stage cluster sampling method was used to select 50327 residents from 6 program points in Liaoning Province as the subjects.The investigation was conducted with questionnaire,physical examination and laboratory tests.The t test,analysis of variance,χ^(2)test,trendχ^(2)test and multinomial logistic regression model were used to analyze the data.The used software was SPSS 22.0.Results In residents(35-75 years old)of Liaoning Province,the mean systolic blood pressure was(137.5±21.4)mm Hg and diastolic blood pressure was(83.1±11.0)mm Hg;83.7%of subjects had≥1 risk factors of CVD.The multinomial logistic regression model showed that the clustering risk of 1,2 and≥3 risk factors of CVD in rural residents was significantly higher than that in urban residents(OR values were 1.101,1.305 and1.241);the clustering risk of 1,2 and≥3 risk factors of CVD in male residents was significantly higher than that in female residents(OR values were 1.801,2.383 and 3.423);the clustering risk of 1,2 and≥3 risk factors of CVD in residents(65-75 years old)was significantly higher than that in residents(35-44 years old),OR values were 1.550,2.849 and 4.849;the clustering risk of 1,2 and≥3 risk factors of CVD in residents with educational level≤elementary school was significantly higher than that in residents with educational level≥high school(OR values were 1.278,1.404 and 1.511),P<0.01.Conclusion The blood pressure level in residents with 35-75 years old is higher.Their clustering risk of CVD is higher.It should pay attention to residents(male,high age,low education level and living in rural area)and give the comprehensive intervention to them.