海港区流动人口血脂异常的流行病学调查300例报告

Epidemiological investigation on the prevalence of dyslipidemia in the floating population in the harbor area 300 Cases Report

目的 :了解秦皇岛市海港区流动人口血脂异常的患病率及其危险因素,为制定和评价卫生政策以及干预措施提供依据。方法 :采取按不同行业分层、多阶段整群抽样的方法,于2014年调查秦皇岛市海港区18岁及以上300名流动人口;进行问卷、一般体格检查及血糖、血脂测定,检测结果经Spss16.0统计软件进行统计分析。结果:本次共调查300人,其中男性168人,平均年龄37岁,女性132人,平均年龄42岁。秦皇岛市海港区18岁及以上流动人口血脂异常患病率为63.7%(191/300);男女患病率分别为60.3%、68.0%,血脂异常的患病率随年龄的增加呈现上升后下降趋势,在45岁以前,男性血脂异常的患病率明显高于女性,而45岁以后女性血脂异常的患病率明显高于男性;其中单纯性高甘油三酯血症、单纯性高胆固醇血症、单纯性低高密度脂蛋白胆固醇血症和混合型高脂血症的患病率分别为2.8%、4.2%、61.0%和1.9%,多因素Logistic回归分析显示:女性、低年龄组、有高血压史、体重指数和空腹血糖升高为高脂血症的危险因素(男性、年龄增加、吸烟、超重或肥胖、中心型肥胖、高血压、高血糖均为血脂异常的独立危险因素)。结论 :秦皇岛市海港区2014年18岁及以上流动人口血脂异常病患病率较高,应该加强健康教育,开展危险因素的干预,改变民众不良生活方式等综合干预措施。

Objective To understand the prevalence of abnormal blood lipids of floating population in Qinhuangdao harbor area rate and its risk factors, provide the basis for the development and evaluation of health policies and intervention measures.Methods Stratified, according to different industry cluster multi stratified sampling method, in the harbor district in 2014 survey of Qinhuangdao city at the age of 18 and above1306 floating population; questionnaire, physical examination and blood glucose, blood lipid were measured, the test results by Spss16.0 statistical software for statistical analysis. Results The investigated a total of 300 people, including 168 males, mean age 37 years, 132 women, average age 42 years old. Qinhuangdao harbor area, aged 18 years and above the floating population of dyslipidemia prevalence rate was 63.7%(191/300); the prevalence rate of male and female were 60.3%, 68%, dyslipidemia prevalenceincreased with age increased then decreased trend, before 45 years of age, maledyslipidemia prevalence rate significantly higher than the female, but after 45 years old female dyslipidemia prevalence was significantly higher than male; in which the prevalence of imple hypertriglyceridemia, hypercholesterolemia, pure simple low high density lipoprotein cholesterol and mixed hyperlipidemia were respectively 2.8%, 4.2%, 61% and 1.9%, multivariate Logistic regression analysis showed that: female, age group, low a history of hypertension, body mass index and fasting glucosehyperlipidemia risk factors(male, increasing age, smoking, overweight or obesity, central obesity, hypertension, high blood glucose are the independent risk factors of dyslipidemia). Conclusion Qinhuangdao Haigang District in 2014 aged 18 years and above the floating population has a high prevalence of abnormal blood lipids disease, should strengthen the health education, to carry out risk factor intervention, change people poor lifestyleintervention measures.