华中地区迁居居民预防心血管病指标分析
Analysis of cardiovascular disease prevention indicators among residents with intra-urban migration in Central China
黄天舒 1田原 2张行易 2李晨辉 1赵允 1赵东源 1陈现华 1朱梦瑶 1焦冠淇 1郭东民 1李希 3崔建兰2
作者信息
- 1. 国家心血管病中心华中分中心生物样本资源部,河南 郑州 450046
- 2. 国家心血管病中心 中国医学科学院阜外医院,北京 102308
- 3. 国家心血管病中心华中分中心生物样本资源部,河南 郑州 450046;国家心血管病中心 中国医学科学院阜外医院,北京 102308
- 折叠
摘要
目的 了解华中地区迁居居民预防心血管病(CVD)指标情况,为有针对性地防控CVD提供参考.方法 基于华中地区心血管病高危人群早期筛查与综合干预项目,收集2015年9月—2020年8月参与调查的35～75岁居民的基本资料,根据出生地、户籍和现居住地分为老城区本地居民、新城区本地居民、其他城市外来人口和农村外来人口4组,采用稳健Poisson回归模型分析各组居民CVD一、二级预防相关的指标情况.结果 纳入76 513人,其中男性29 420人,占38.45%;女性47 093人,占61.55%.年龄为(56.36±9.84)岁.老城区本地居民、新城区本地居民、其他城市外来人口和农村外来人口分别为45 087、23 868、5 668和1 890人,占58.93%、31.19%、7.41%和2.47%.调整年龄、性别、文化程度等变量后,稳健Poisson回归分析结果显示,与老城区本地居民相比,新城区本地居民对不饮酒或适度饮酒(RR=0.987,95%CI:0.975～1.000)、健康饮食(RR=0.535,95%CI:0.365～0.782)的遵循率较低,CVD高危人群使用阿司匹林作为一级预防药物的使用率较低(RR=0.616,95%CI:0.511～0.741),高血压知晓率(RR=0.873,95%CI:0.782～0.974)和控制率(RR=0.730,95%CI:0.627～0.849)较低;其他城市外来人口对不吸烟的遵循率较高(RR= 1.045,95%CI:1.017～1.075);农村外来人口CVD高危人群使用阿司匹林作为一级预防药物的使用率较低(RR=0.826,95%CI:0.707～0.966).结论 研究发现华中地区的新城区本地居民CVD一级预防情况相对较差,需重点干预.
Abstract
Objective To investigate cardiovascular disease(CVD)prevention status among residents with intra-urban mi-gration in Central China,so as to provide insights into targeted prevention and control of CVD.Methods Basic data of residents aged 35 to 75 years who participated in Early Screening and Comprehensive Intervention Project for CVD high-risk populations in Central China from September 2015 to August 2020 were collected.According to birth place,type of registered residence and current residence,residents were divided into four groups:local residents in old urban area,local residents in new urban area,other urban migrants and other rural migrants.The status of CVD primary and secondary prevention,were analysed by using a robust Poisson regression model.Results A total of 76 513 residents were recruited,including 29 420 males(38.45%)and 47 093 females(61.55%),and had a mean age of(56.36±9.84)years.There were 45 087(58.93%)local residents in old urban area,23 868(31.19%)local residents in new urban ar-ea,5 668(7.41%)other urban migrants and 1 890(2.47%)other rural migrants.After adjusting for variables such as age,gender and educational level,the results of robust Poisson regression analysis showed that compared with local resi-dents in old urban area,local residents in new urban area had lower compliance rates of non-or moderate-drinking(RR=0.987,95%CI:0.975-1.000)and healthy diet(RR=0.535,95%CI:0.365-0.782),lower proportion of using aspirin as primary prevention in CVD high-risk population(RR=0.616,95%CI:0.511-0.741),lower awareness(RR=0.873,95%CI:0.782-0.974)and control rates(RR=0.730,95%CI:0.627-0.849)of hypertension;other urban migrants had high-er compliance rate of non-smoking(RR=1.045,95%CI:1.017-1.075);other rural migrants had lower proportion of using aspirin as primary prevention in CVD high-risk population(RR=0.826,95%CI:0.707-0.966).Conclusion The CVD pri-maryprevention among local residents in new urban area is relatively poor among four groups of residents in Central Chi-na,and key interventions are needed.
关键词
华中地区/心血管病/健康生活方式/一级预防/二级预防Key words
Central China/cardiovascular disease/healthy lifestyle/primary prevention/secondary prevention引用本文复制引用
基金项目
中国医科院医学与健康科技创新工程项目(2021-CXGC06)
出版年
2024
NETL
NSTL
维普
万方数据