河南≥15岁居民心脑血管疾病患病率及影响因素分析

发布时间：2018-11-06 16:15

【摘要】：目的了解河南省居民心脑血管疾病患病率及影响因素,为心脑血管疾病的防治工作提供建议。方法2013年采用多阶段分层整群随机抽样方法,抽取河南省18个县的27140名≥15岁居民进行调查,了解居民的家庭和个人情况以及慢性病情况。结果调查人群的心脑血管疾病患病率为16.85%,年龄标准化率为17.36%。随着年龄增大,患病率呈上升趋势(趋势X~2=4 091.391 P0.001);城市(19.72%)高于农村(13.91%)(X~2=163.410,P0.001);女性(18.14%)高于男性(15.49%)(X~2=33.857,P0.001)。多因素logistic回归分析显示,年龄(OR=2.290)、城市居住(OR=1.366)、丧偶(OR=1.462)、超重(OR=1.686)或肥胖(OR=3.163)、每周锻炼不到1次(OR=1.477)或1~2次(OR=1.182)、≥6次(OR=1.210)和糖尿病(OR=3.705)均为心脑血管病的危险因素(均P0.05);同时随着可改变危险因素数目的增加,心脑血管病的患病风险也会增高(OR=1.856,95%CI=1.798~1.916)。结论河南省居民以高血压为代表的心脑血管病患病率较高,且呈增加趋势。不良生活行为方式依旧是心脑血管病的主要危险因素。
[Abstract]:Objective to investigate the prevalence and influencing factors of cardiovascular and cerebrovascular diseases in Henan province, and to provide advice for prevention and treatment of cardiovascular and cerebrovascular diseases. Methods 27140 residents over 15 years old in 18 counties of Henan Province were selected by multi-stage stratified cluster random sampling in 2013 to investigate their family and personal conditions and chronic diseases. Results the prevalence rate of cardiovascular and cerebrovascular diseases was 16.85 and the age standardized rate was 17.36. With the increase of age, the prevalence rate showed an increasing trend (trend X ~ (2 +) (4 ~ (091.391) P ~ (0.001), higher in urban (19.72%) than in rural (13.91%) (X ~ (2) ~ (2) (163.410) (P ~ (0.001). Women (18.14%) were higher than men (15.49%) (X2 + 33.857) (P0.001). Multivariate logistic regression analysis showed that age (OR=2.290), urban residence (OR=1.366), widowhood (OR=1.462), overweight (OR=1.686) or obesity (OR=3.163), exercise less than once a week (OR=1.477) or 2 times a week (OR=1.182), 鈮，

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