十堰市社区35岁及以上居民心血管疾病患病情况及其影响因素调查研究

发布时间：2018-05-08 16:04

本文选题：心血管疾病 + 患病率　；参考：《中国全科医学》2017年29期

【摘要】：目的调查湖北省十堰市社区35岁及以上居民心血管疾病(CVD)流行现状及相关影响因素,为CVD预防提供依据。方法采用分层多阶段随机抽样方法,2013年8—10月在十堰市向符合纳入与排除标准的居民发放问卷1 388份,回收有效问卷1 379份,有效回收率为99.35%。调查内容包括一般人口学资料、生活方式和行为(包含吸烟、饮酒、饮食、体力活动等)、相关的体格检查(身高、体质量、血压、血脂等)、CVD患病情况(包括高血压、高脂血症、慢性心力衰竭、冠心病、其他类型心脏病)。采用非条件单因素及多因素Logistic回归分析CVD影响因素。结果 1 379人中,检出CVD 642人(46.56%),其中高血压490人(35.53%),高脂血症273人(19.80%),慢性心力衰竭19人(1.38%),冠心病17人(1.23%),其他类型心脏病36人(2.61%)。男性与女性高脂血症、冠心病、其他类型心脏病检出率比较,差异均无统计学意义(P0.05);男性高血压检出率高于女性,慢性心力衰竭检出率低于女性(P0.05)。多因素Logistic回归分析结果显示,年龄、饮酒、肥胖与CVD患病有回归关系(P0.05)。结论十堰市社区35岁及以上居民CVD检出率尤其是高血压检出率较高,可能与居民不健康的生活方式有关,社区机构应做好该类疾病的宣传教育及防治工作,控制CVD的患病。
[Abstract]:Objective to investigate the prevalence and related factors of cardiovascular disease (CVD) in the residents aged 35 and above in Shiyan, Hubei, and to provide the basis for CVD prevention. Methods using stratified multi-stage random sampling method, 1388 questionnaires were issued in Shiyan city from 8 to October in 2013, and 1379 valid questionnaires were recovered. The 99.35%. survey included general demographic data, lifestyle and behavior (including smoking, drinking, diet, physical activity, etc.), related physical examination (height, body mass, blood pressure, blood lipid, etc.), CVD prevalence (including hypertension, hyperlipidemia, chronic heart failure, coronary heart disease, other types of heart disease). Single factor and multiple factor Logistic regression analysis of CVD influencing factors. Results of 1379 people, 642 were CVD (46.56%), of which hypertension was 490 (35.53%), hyperlipidemia was 273 (19.80%), chronic heart failure was 19 (1.38%), coronary heart disease 17 (1.23%), and other types of heart disease 36 (2.61%). Male and female hyperlipidemia, coronary heart disease, and other types of heart There was no significant difference in the detection rate of the disease (P0.05). The detection rate of male hypertension was higher than that of women, and the detection rate of chronic heart failure was lower than that of women (P0.05). The results of multiple factors Logistic regression analysis showed that age, drinking, obesity and CVD have a regression relationship (P0.05). Conclusion the detection rate of CVD in the residents aged 35 and above in Shiyan community is especially good. It is the high rate of high blood pressure, which may be related to the unhealthy lifestyle of the residents. The community institutions should do a good job of propaganda, education and prevention and control of the disease and control the disease of CVD.

【作者单位】：锦州医科大学研究生院;锦州医科大学医学研究所;湖北医药学院卫生管理与卫生事业发展研究中心;湖北省十堰市太和医院耳鼻喉科;
【基金】：国家科技支撑计划资助项目(2011BAI11B01)
【分类号】：R54

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