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湖南省35~75岁居民心血管病高危人群流行特征

殷黎,  殷蕾,  刘琼,  刘源,  刘意,  谢羡

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文章导航 > 中华疾病控制杂志  > 2022 >  26(6): 728-731
殷黎, 殷蕾, 刘琼, 刘源, 刘意, 谢羡. 湖南省35~75岁居民心血管病高危人群流行特征[J]. 中华疾病控制杂志, 2022, 26(6): 728-731. doi: 10.16462/j.cnki.zhjbkz.2022.06.019
引用本文: 殷黎, 殷蕾, 刘琼, 刘源, 刘意, 谢羡. 湖南省35~75岁居民心血管病高危人群流行特征[J]. 中华疾病控制杂志, 2022, 26(6): 728-731. doi: 10.16462/j.cnki.zhjbkz.2022.06.019
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YIN Li, YIN Lei, LIU Qiong, LIU Yuan, LIU Yi, XIE Xian. Epidemiological characteristics of high-risk population of cardiovascular disease in residents aged 35-75 years in Hunan Province[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(6): 728-731. doi: 10.16462/j.cnki.zhjbkz.2022.06.019
Citation: YIN Li, YIN Lei, LIU Qiong, LIU Yuan, LIU Yi, XIE Xian. Epidemiological characteristics of high-risk population of cardiovascular disease in residents aged 35-75 years in Hunan Province[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(6): 728-731. doi: 10.16462/j.cnki.zhjbkz.2022.06.019
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湖南省35~75岁居民心血管病高危人群流行特征

doi: 10.16462/j.cnki.zhjbkz.2022.06.019

  • 410005 长沙，湖南省疾病预防控制中心慢性非传染性疾病预防控制科

殷黎和殷蕾为共同第一作者
基金项目: 

国家重大公共卫生项目 Cai She〔2014〕No.37

详细信息
    通讯作者:

    殷黎，E-mail: 8273620@qq.com

  • 中图分类号: R181

Epidemiological characteristics of high-risk population of cardiovascular disease in residents aged 35-75 years in Hunan Province

  • Department of Chronic Non-Communicable Disease Control and Prevention, Hunan Provincial Center for Disease Control and Prevention, Changsha 410005, China

YIN Li and YIN Lei contributed equally to this article
Funds: 

National Major Public Health Service Project Cai She〔2014〕No.37

More Information

    摘要
  • 摘要:   目的  了解湖南省35~75岁居民心血管病高危人群流行病学特征，为心血管病防治提供依据。  方法  利用湖南省心血管病高危人群早期筛查与综合干预项目数据分析心血管病高危人群流行病学特征，通过拟合多变量混合效应模型来评估个体特征与心血管病高危风险之间的关联。  结果  共纳入99 001名调查对象，平均年龄(56.6±9.7)岁，62.2%为女性。心血管病高危人群占比12.1%，高危人群中有96.4%患有高血压。生活在农村(r=0.036)、民族为汉族(r=0.012)、饮酒(r=0.041)、超重(r=0.110)和肥胖(r=0.086)都与心血管病高危风险呈正相关，而高学历(r=-0.040)、高家庭收入(r=-0.032)和已婚(r=-0.027)与心血管病高危风险呈负相关(均有P < 0.001)。  结论  湖南省筛查出心血管病高危人群的比例较高，应重点针对其采取健康教育和综合干预措施，以减少全省居民心血管病发病风险。
    Abstract:   Objective  To understand epidemiological characteristics of high-risk population of cardiovascular disease in adults aged 35-75 years in Hunan Province, and to provide basis for prevention and treatment of cardiovascular diseases.  Methods  Epidemiological characteristics of high-risk population of cardiovascular disease were analyzed through the data from China Patient-Centered Evaluative Assessment of Cardiac Events (PEACE) Million Persons Project in Hunan Province. The mixed model was used to analyze the association between individual characteristics and high risk of cardiovascular disease.  Results  Totally, 99 001 participants were enrolled in this study, with an average age of (56.6±9.7) years. In both sexes, 62.2 % of participants were females and 37.8% were males. 12.1% of the participants were the high-risk population for cardiovascular diseases, and among these high-risk population, 96.4% people had been diagnosed with hypertension. Living in rural areas, Han nationality, drinkers and overweight/obesity were positively correlated with the risk of cardiovascular disease, while those with high education, high family income and married were negatively correlated with the risk of cardiovascular disease (all P < 0.001).  Conclusions  The proportion of high-risk population of cardiovascular disease screened in Hunan Province is high. Comprehensive intervention measures should be taken to reduce the risk of cardiovascular disease among high-risk population.
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  • 表  1  不同特征人群心血管病高危情况

    Table  1.   Characteristics of persons with high cardiovascular disease risk

    特征 调查人数[n(%)] 高危人数(n) 高危检出率(%) χ2值 P值
    合计 99 001(100.0) 11 954 12.1
    性别 2 391.382 ＜0.001
      男 37 448(37.8) 6 953 18.6
      女 61 553(62.2) 5 001 8.1
    年龄(岁) 9 925.700 ＜0.001
      35~＜40 4 393(4.4) 0 0.0
      40~＜45 7 716(7.8) 97 1.3
      45~＜50 13 256(13.4) 241 1.8
      50~＜55 18 802(19.0) 851 4.5
      55~＜60 12 677(12.8) 759 6.0
      60~＜65 16 774(16.9) 3 111 18.5
      65~＜70 15 898(16.1) 3 342 21.0
      70~75 9 485(9.6) 3 553 37.5
    城乡 409.967 ＜0.001
      农村 77 540(78.3) 10 218 13.2
      城市 21 461(21.7) 1 736 8.1
    民族 88.506 ＜0.001
      汉族 89 965(90.9) 11 067 12.3
      非汉族 8 400(8.5) 774 9.2
      不清楚 636(0.6) 113 17.8
    教育程度 1 206.625 ＜0.001
      小学及以下 54 399(54.9) 8 416 15.5
      初中 28 485(28.8) 2 445 8.6
      高中 11 784(11.9) 920 7.8
      大学及以上 4 221(4.3) 156 3.7
      不清楚 112(0.1) 17 15.2
    职业 535.717 ＜0.001
      农民 60 125(60.7) 8 416 14.0
      非农民 37 997(38.4) 3 443 9.1
      不清楚 879(0.9) 95 10.8
    家庭年收入(元) 520.030 ＜0.001
       < 10 000 12 008(12.1) 2 342 19.5
      10 000~50 000 60 516(61.1) 7 192 11.9
      >50 000 21 168(21.4) 1 779 8.4
      不清楚 5 309(5.4) 641 12.1
    婚姻状况 356.017 ＜0.001
      已婚 90 987(91.9) 10 471 11.5
      未婚 7 776(7.9) 1 459 18.8
      不清楚 238(0.2) 24 10.1
    医疗保险情况 0.469 0.791
      无医疗保险 300(0.3) 40 13.3
      有医疗保险 98 532(99.5) 11 893 12.1
      不清楚 169(0.2) 21 12.4
    BMI(kg/m2) 366.599 ＜0.001
      低 22 638(22.9) 274 11.0
      正常 8 236(8.3) 4 887 10.2
      超重 46 230(46.7) 4 866 13.4
      肥胖 13 736(13.9) 1 927 15.6
    下载: 导出CSV

    表  2  个体特征与心血管病高危相关情况

    Table  2.   The characteristics of participants and their correlations with cardiovascular diseases

    特征 男性 女性 合计
    OR(95% CI)值 P值 OR(95% CI)值 P值 OR(95% CI)值 P值
    城乡
      城市 1.00 1.00 1.00
      农村 1.45(1.34~1.58) < 0.001 1.39(1.26~1.52) < 0.001 1.46(1.37~1.55) < 0.001
    民族
      非汉族 1.00 1.00 1.00
      汉族 1.49(1.33~1.66) < 0.001 1.87(1.65~2.12) < 0.001 1.63(1.50~1.77) < 0.001
    教育程度
      小学及以下 1.00 1.00 1.00
      初中 0.54(0.50~0.58) < 0.001 0.52(0.47~0.56) < 0.001 0.57(0.54~0.60) < 0.001
      高中 0.52(0.47~0.58) < 0.001 0.47(0.40~0.54) < 0.001 0.57(0.53~0.62) < 0.001
      大学及以上 0.26(0.21~0.31) < 0.001 0.13(0.08~0.19) < 0.001 0.27(0.23~0.32) < 0.001
    职业
      非农民 1.00 1.00 1.00
      农民 0.91(0.84~0.98) 0.014 0.92(0.85~0.99) 0.043 0.97(0.92~1.03) 0.347
    家庭年收入(元)
       < 10 000 1.00 1.00 1.00
      10 000~50 000 0.65(0.60~0.70) < 0.001 0.66(0.61~0.72) < 0.001 0.67(0.63~0.71) < 0.001
      >50 000 0.53(0.47~0.58) < 0.001 0.56(0.50~0.62) < 0.001 0.56(0.52~0.60) < 0.001
    婚姻状况
      未婚 1.00 1.00 1.00
      已婚 0.77(0.69~0.85) < 0.001 0.55(0.51~0.60) < 0.001 0.69(0.64~0.73) < 0.001
    医疗保险情况
      无医疗保险 1.00 1.00 1.00
      有医疗保险 1.08(0.67~1.74) 0.763 1.00(0.57~1.75) 0.995 1.04(0.72~1.48) 0.849
    饮酒
      无 1.00 1.00 1.00
      有 1.72(1.61~1.84) < 0.001 1.30(1.03~1.64) 0.025 2.70(2.54~2.86) < 0.001
    BMI(kg/m2)
      正常 1.00 1.00 1.00
      超重 1.29(1.21~1.37) < 0.001 1.56(1.45~1.67) < 0.001 1.38(1.32~1.45) < 0.001
      肥胖 1.53(1.41~1.67) < 0.001 1.97(1.81~2.15) < 0.001 1.66(1.56~1.76) < 0.001
    下载: 导出CSV
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  • 收稿日期:  2021-04-13
  • 修回日期:  2021-07-09
  • 网络出版日期:  2022-06-16
  • 刊出日期:  2022-06-10

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