A study on prevalence and associated factors of dyslipidemia in urban and rural areas among Han adult residents in Xinjiang, 2013
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摘要: 目的 了解新疆汉族成人城乡居民血脂异常患病率及相关因素。方法 样本为多阶段分层整群抽取的新疆5个市县3 095名20～80岁的汉族居民，其中城市居民1 970人（63.65%）。本文比较了城乡居民血脂总胆固醇（total cholesterol，TC），甘油三酯（triglyceride，TG），低密度脂蛋白胆固醇（low density lipoprotein-cholesterol，LDL-C）和高密度脂蛋白胆固醇（high density lipoprotein-cholesterol，HDL-C）异常患病率及相关因素。结果 血脂异常总患病率为28.11%，城市居民总患病率高于农村居民（30.00% vs 24.80 %，χ2=9.58，P=0.002）；高TC血症患病率为7.69%，城市高于农村（8.83% vs 5.69%，χ2=9.97，P=0.002）；高TG血症患病率为19.97%，城市高于农村（21.47% vs 17.35%，χ2=7.61，P=0.006）；高LDL-C血症患病率为4.52%，城市高于农村（5.33% vs 3.11%，χ2=8.16，P=0.004）；低HDL-C血症患病率为7.40%，城市与农村差异无统计学意义（7.56% vs 7.11%，χ2=0.21，P=0.644）。多因素Logistic回归显示，超重和肥胖是血脂TG、HDL-C异常共同的独立相关因素（均有P<0.05）。结论 新疆五市县汉族成人血脂水平高于全国。城市居民血脂异常水平高于农村。控制超重和肥胖是预防新疆汉族城乡居民血脂异常的重要手段。Abstract: Objective To investigate the prevalenceand associated factors of dyslipidemia in urban and rural areas among Han adult residents in Xinjiang.Methods Multi-stage stratified cluster sampling was used to select 3 095 Han residents aged 20-80 years old in 5 cities and counties in Xinjiang,with 1 970 in urban areas(63.65%).The prevalence of dyslipidemia of serum total cholesterol(TC),triglyceride(TG),low density lipoprotein-cholesterol(LDL-C) and high density lipoprotein-cholesterol(HDL-C) in urban and rural areas,and associated factors were examined.Results The prevalence of dyslipidemia was 28.11% overall,the prevalence in urban areas was higher than that in rural areas(30.00% vs 24.80%,χ2=9.58, P=0.002);the prevalence of high TC was 7.69%,which was higher in urban areas than in rural areas(8.83% vs 5.69%,χ2=9.97, P=0.002); the prevalence of high TG was 19.97%, which was higher in urban areas than in rural areas(21.47% vs 17.35%,χ2=7.61,P=0.006);the prevalence of high LDL-C was 4.52%, which was higher in urban areas than in rural areas(5.33% vs 3.11%, χ2=8.16, P=0.004);the prevalence of low HDL-C was 7.40%,and no significance was found between urban and rural areas(7.56% vs 7.11%, χ2=0.21, P=0.644).Multivariate Logistic regression analysis showed that overweight and obesity were common independent associated factors of high TG and low HDL-C(all P<0.05).Conclusions The serum lipid levels were higher in Han adults in 5 cities and counties in Xinjiang than the national average.The prevalence of dyslipidemia was higher in urban areas than that in rural areas.Control of overweight and obesity is the key measure to prevent dyslipidemia in urban and rural areas among Han adult residents in Xinjiang.
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Key words:
- Han nationality /
- Dyslipidemias /
- Prevalence /
- Epidemiologic factors
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