重庆市巴南区城市居民心血管病高危人群流行现状及其影响因素分析

Analysis of the Prevalence Status and Influencing Factors of High Risk Population With Cardiovascular Disease Among Urban Residents in Banan District of Chongqing

目的了解重庆市巴南区城市居民心血管病高危人群的流行现状及其影响因素。方法按照分层随机抽样方法,对巴南区11 716名城市居民进行问卷调查、体格测量和实验室检测,内容包括人口学特征、生活行为方式及健康状况等,并对调查对象进行身高、体重、腰围、血压、肺功能测量及血糖、血脂和尿液检测。应用SPSS 17.0统计软件进行χ~2检验,采用多因素非条件Logistic回归对高危人群检出情况的相关因素进行分析。结果重庆市巴南区城市居民心血管病高危人群检出率为19.84%,其中男女性检出率分别为25.15%和16.56%,男性高于女性,差异有统计学意义(P<0.05);高危人群检出率随着年龄的增长呈上升趋势(χ~2趋势=136.15,P<0.01),其中70~75岁年龄组检出率最高(28.67%)。中心性肥胖(OR=1.11)、饮酒(OR=1.28)、糖尿病(OR=1.22)、血脂异常(OR=1.89)、高血压(OR=4.40)、冠心病病史(OR=22.88)、卒中病史(OR=23.64)是巴南区城市居民心血管病高危人群的影响因素。结论巴南区城市居民心血管病高危人群检出率较高,心血管病的预防要做到关口前移,以高危人群为重点,尤其是中老年男性、饮酒、超重肥胖、有高血压、糖尿病、血脂异常及心血管疾病史者,采取社区综合干预方式,以降低危险因素水平,减少发病和死亡。

Objective To investigate the prevalence status and influencing factors of high risk population with cardiovascular disease among urban residents in Banan District.Methods The multistage stratified random sampling method was used to select 12 000 urban residents for questionnaire survey,anthropometric measurements and laboratory tests.The contents of the survey included demographic characteristics,lifestyle and health status etc.The physical examination included height,weight,waist circumference,blood pressure,lung function and blood glucose,blood lipids,urine tests.The SPSS 17.0 statistical software was used to carry outχ~2 tests,and multivariate non-conditional Logistic regression was used to analyze the related factors of high risk population.Results The detection rate of high risk population with cardiovascular disease was 19.84%in the urban residents of Banan District.The detection rate of male and female were 25.15%and 16.56%,respectively.The difference between male and female was statistically significant(P<0.05).The detection rate of high risk population increased by the increase of age,and the highest detection rate was the group of 70 to 75 years old(28.67%).The influencing factors of the high risk population with cardiovascular disease were central obesity(OR=1.11),alcohol consumption(OR=1.28),diabetes mellitus(OR=1.22),dyslipidemia(OR=1.89),hypertension(OR=4.40),coronary heart disease(OR=22.88),stroke history(OR=23.64)in urban residents of Banan District.Conclusion The detection rate of high risk population of cardiovascular disease was higher in the urban residents of Banan District.The prevention of cardiovascular disease should be carried out before the disease occurrenced,especially in the population wih the factors of middle and aged men,drinking alcohol,being overweight and obese,Hypertension,diabetes,dyslipidemia and cardiovascular disease.The Comprehensive Community intervention should be strengthened to reduce the risk factors,morbidity and mortality of the urban residents.