摘要
目的 分析重庆市忠县35～75岁居民高血压、高血糖、高血脂共患情况及相关影响因素.方法 2021-2022年,采用多阶段随机抽样的方法,对5 659例调查对象开展问卷调查、体格检查和血生化检测.使用SPSS 22.0软件对数据进行整理和分析,不同变量间与高血压、高血糖、高血脂(简称"三高")的差异使用x2检验或趋势性x2检验,使用多因素logistic回归分析不同变量与"三高"共患的相关性.结果 共调查35～75岁居民5 659例,平均年龄为(58.71± 9.54)岁;男性1 927例,占34.05％,高血压、高血糖、高血脂标化患病率分别为35.91％、26.36％、36.33％,"三高"共患的标化患病率为7.48％.多因素 logistic 回归分析发现,男性(OR=1.264,95％CI:1.038～1.540),50～59 岁(OR=2.425,95％CI:1.655～3.553),60～69 岁(OR=4.486,95％CI:3.066～6.564),70～75 岁(OR=4.412,95％CI:2.930～6.643);适当锻炼(OR=0.780,95％CI:0.651～0.934);睡眠充足(OR=0.752,95％CI:0.611～0.928);高血压家族史(OR=1.389,95％CI:1.074～1.798);超重(OR=1.279,95％CI:1.047～1.563);肥胖(OR=4.141,95％CI:3.005～6.484);中心性肥胖(OR=2.190,95％CI:1.740～2.757)与"三高"共患相关.结论 忠县35～75岁居民"三高"共患的患病率较高,有必要对相关的危险因素进行控制和干预,实施"三高"共管并加强体重管理.
Abstract
Objective To analyze the multimorbidity of hypertension,hyperglycemia and hyperlipidemia and its relative affecting factors amongst residents aged 35-75 years in Zhong County of Chongqing Municipality.Methods From 2021 to 2022,a multi-stage random sampling method was used to select 5,659 subjects for questionnaire survey,physical examination and blood biochemical test.The data were collated and analyzed by SPSS 22.0 software.The differences in multimorbidity of hypertension,hyperglycemia and hyperlipidemia(shortened to three diseases)among different variables were tested by x2 test or trend X2 test,and the correlations of different variables with multimorbidity of three diseases were analyzed by multivariate logistic regression.Results A total of 5,659 residents aged 35-75 years were investigated,with an average age of(58.71±9.54)years.1,927(34.05％)residents were males,and the age standardized prevalence rates of hypertension,hyperglycemia and hyperlipidemia were 35.91％,26.36％and 36.33％respectively.The age standardized prevalence rate of multimorbidity of three diseases was 7.48％.Multivariate logistic regression analysis displayed that males(OR=1.264,95％CI:1.038-1.540),50-59 years old(OR=2.425,95％CI:1.655-3.553),60-69 years old(OR=4.486,95％CI:3.066-6.564),70-75 years old(OR=4.412,95％CI:2.930-6.643),appropriate physical exercise(OR=0.780,95％CI:0.651-0.934),adequate sleep(OR=0.752,95％CI:0.611-0.928),family history of hypertension(OR=1.389,95％CI:1.074-1.798),overweight(OR=1.279,95％CI:1.047-1.563),obesity(OR=4.141,95％CI:3.005-6.484),and central obesity(OR=2.190,95％CI:1.740-2.757)were associated with multimorbidity of three diseases.Conclusion The prevalence rate of multimorbidity of three diseases among residents aged 35-75 years in Zhong County is high;it is therefore necessary to control and intervene the related risk factors,implement co-management of three diseases and strengthen weight management.
基金项目
中央财政转移支付地方卫生计生服务项目(渝财社2021137号)
维普
万方数据