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上海市居民心血管疾病高危人群的流行病学特征

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[目的]分析上海市8个区的心血管疾病(CVD)高危人群比例、不同高危类型聚集情况及影响因素,为CVD防控提供科学依据.[方法]基于上海市2016-2021年8个国家项目区开展的"心血管病高危人群早期筛查与综合干预项目"资料,纳入35~75岁104 685名常住居民为研究对象.运用R 3.6.1软件进行χ2检验、趋势χ2检验、多因素二元logistic回归分析、多因素无序多分类logistic回归分析.[结果]CVD高危人群占比为19.17%,高血压型、血脂异常型、CVD病史型和WHO评估患病风险≥20%型高危人群占比分别为8.65%、6.33%、5.58%和2.69%.多因素logistic回归分析结果显示,高龄、农民、非在婚者、家庭年收入<5万元、吸烟、饮酒、中心性肥胖、超重、肥胖与CVD高危高风险相关(均P<0.05),高文化程度与CVD高危低风险相关(P<0.01).CVD高危类型聚集情况方面单独1种、聚集2种和≥3种者分别占81.34%、16.13%和2.54%.无序多分类logistic回归分析结果显示,高龄、农民、饮酒、中心性肥胖、超重、肥胖、家庭年收入<5万元、吸烟、非在婚人群发生CVD高危类型聚集的风险较高(均P<0.05),高文化程度者CVD高危类型聚集的风险较低(P<0.01).[结论]上海市CVD的防控应重点关注高血压、高龄、超重、肥胖、中心性肥胖、吸烟、饮酒、低文化程度、低收入、农民、非在婚人群,应采取有针对性的干预防控措施,降低居民CVD发病风险.
Epidemiological characteristics of high-risk population for cardiovascular disease of Shanghai residents
[Objective]To investigate the high-risk detection rate and aggregation of cardiovascular diseases(CVD)in 8 districts of Shanghai and influencing factors,and to provide scientific references for prevention and control of CVD.[Methods]Based on the Cardiovascular Disease Screening and Management Program in Shanghai from 2016 to 2021,104 685 participants aged 35 to 75 in 8 districts of Shanghai were selected for analysis.χ2 test and multivariate logistic regression were used for statistical analysis of the influencing factors of CVD and aggregation of CVD.[Results]The proportion of high-risk CVD individuals in the population was 19.17%,including the high-risk individuals with hypertension(8.65%),dyslipidemia(6.33%),CVD history(5.58%),and WHO assessed risk≥20%types(2.69%),respectively.Old age,overweight and obesity,central obesity,smoking,drinking,farmers,unmarried,and low family income were the risk factors of CVD,while high education level was the protective factor.In the participants,16 323 people(81.34%)were classified as CVD high-risk groups;The number of aggregation of 1,2 and≥3 high risk types of CVD were 16 323(81.34%),3 236(16.13%),509(2.54%),respectively.Old age,low education level,low annual family income,farmers,unmarried,smoking,drinking,overweight,obesity and central obesity were associated with the risk of aggregation of high risk types of CVD,and the correlation strength increased with the increase of aggregation types.[Conclusion]The prevention and control of CVD in Shanghai should focus on the hypertension,elderly,overweight,obesity,central obesity,smoking,drinking,low educated,low family income,farmers and unmarried people,and targeted intervention measures should be taken to reduce the risk of CVD among residents.

cardiovascular diseasehigh-risk populationdetection raterisk factor

王玉琢、郑杨、王英全、吴萃、顾海雁、张一英、徐燕、王森、张欣、姜玉、赵佳、施燕

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上海市疾病预防控制中心慢性非传染病与伤害防治所,上海 200336

上海市宝山区疾病预防控制中心,上海 201901

上海市徐汇区疾病预防控制中心,上海 200237

上海市嘉定区疾病预防控制中心,上海 201899

上海市崇明区疾病预防控制中心,上海 202150

上海市青浦区疾病预防控制中心,上海 201799

上海市静安区疾病预防控制中心,上海 200070

上海市长宁区疾病预防控制中心,上海 200050

上海市杨浦区疾病预防控制中心,上海 200090

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心血管疾病 高危人群 检出率 危险因素

国家重大公共卫生服务项目上海市医苑新星青年医学人才培养-公共卫生领导者项目上海市加强公共卫生体系建设三年行动计划(2023-2025年)

202199GWVI-8

2024

上海预防医学
上海市预防医学会

上海预防医学

CSTPCD
影响因子:0.615
ISSN:1004-9231
年,卷(期):2024.36(1)
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