首页|山东省沂水县居民心血管疾病主要危险因素调查

山东省沂水县居民心血管疾病主要危险因素调查

Epidemiological Research on Main Risk Factors of Cardiovascular Diseases in Yishui County of Shandong Province

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目的 分析山东省沂水县农村地区心血管疾病(CVD)高危人群的流行现状及相关危险因素,为该地区有效预防心血管疾病工作提供参考依据.方法 采用分层整群随机抽样法,于 2022 年 1-12 月选取沂水县农村常住 35~75 岁的 6 006 名居民为筛查对象,通过问卷调查、体格检查及实验室检查等方式收集资料,并采用χ2 检验和多因素logistic回归分析等对心血管疾病危险因素及影响因素进行分析.结果 研究对象中筛查检出CVD高危个例共计1 501 人,高危检出率为 24.99%.其中男性的CVD高危人群检出率为 21.86%、女性为 27.87%.随着年龄、饮酒的增加,成为CVD高危人群的危险性越大;吸烟、糖尿病患病均为CVD高危人群的危险因素;文化程度为高中及以上人群与初中及以下文化程度的人群相比,更易成为CVD高危人群.结论 男性、高龄人群、吸烟、饮酒、超重及肥胖、高血压、糖尿病、血脂异常等人群为重点关注人群,应针对CVD高危人群开展多种危险因素综合干预,加强健康宣教,降低心血管疾病发病率及其疾病负担.
Objective To analyze the prevalence and related risk factors of cardiovascular disease(CVD)in rural areas of Yishui County,Shandong province,and provide the reference for effective prevention of cardiovascular disease in this area.Methods A stratified cluster random sampling method was used to select 6 006 permanent rural residents aged 35-75 years old in Yishui County from January to December 2022 as screening objects.Data were collected through questionnaire survey,physical examination and laboratory examination.χ2 test and multiple logistic regression analysis were used to analyze the risk factors of cardiovascular diseases.Results A total of 1 501 CVD high-risk groups were detected in the study subjects,and the high risk detection rate was 24.99%.Among them,the detection rate of CVD high-risk groups was 21.86%in males and 27.87%in females.With the increased of age and alcohol consumption,the risk of becoming a high-risk group of CVD was greater;smoking and diabetes were the risk factors of CVD;people with high school education or above were more likely to become high-risk groups of CVD than those with middle school education or below.Conclusion It is important to focus on male,the elderly,smoking,drinking,overweight and obesity,hypertension,diabetes,dyslipidemia groups.Comprehensive intervention of multiple risk factors should be carried out for high-risk groups of CVD,and health education should be strengthened to reduce the incidence and disease burden of cardiovascular diseases.

Cardiovascular diseaseRisk factorsHigh-risk groups

高铭屿、杨登强

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临沂市疾病预防控制中心,临沂,276000

沂水县疾病预防控制中心,临沂,276403

心血管疾病 危险因素 高危人群

中央财政支付地方重大公共卫生服务项目

Z135080000022

2024

健康教育与健康促进
上海市健康促进中心

健康教育与健康促进

ISSN:1673-6192
年,卷(期):2024.19(2)
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