The prevalence and influencing factors of angina in the elderly of five provinces in China
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摘要: 目的 了解我国老年人群心绞痛的患病率及影响因素,为采取预防措施提供依据。方法 采用多阶段抽样方法,在我国广东省、上海市、黑龙江省、山西省和湖北省选择5 315名≥60岁的老年人进行入户调查;在调查过程中,通过自我报告医生诊断的方式测量心绞痛并收集社会人口学和影响因素的资料;采用单因素分析和Logistic回归模型对数据进行分析。结果 调查对象的心绞痛患病率为7.19%;心绞痛的发生与女性、工人和教师/军人/商人职业、居住地在城市、家庭人均年收入<10 000元/年、遭遇严重经济困难、现在或曾经吸烟、高血压、高胆固醇血症、糖尿病和担心子女这些因素密切相关(均有P<0.05)。结论 女性、工人和教师/军人/商人职业、城市人群、家庭收入较低、遭遇严重经济困难、吸烟、高血压、高胆固醇血症、糖尿病以及担心子女是老年人心绞痛的影响因素,应对重点老年人群采取干预措施,预防心绞痛的发生。Abstract: Objective To investigate the prevalence and influencing factors of angina in the elderly in China and provide the basis for prevention. Methods We randomly recruited a sample of 5 315 residents aged ≥60 years from Guangdong, Shanghai, Heilongjiang, Shanxi and Hubei provinces in China by multistage sampling. We examined each of participants and recorded Angina based on self-reported diagnosis of a physician. We also documented socio-demography and influencing factors. And the risk factors of angina were explored using univariate analysis and Logistic regression analysis.Results The prevalence of angina was 7.19%in the elderly of these five provinces. There were significant associations between angina and the following factors:being female, worker,teacher/servicemen/merchantmen,living in urban, with lower average household income(<10 000 Yuan/year),having serious economic hardship,smoker or ex-smoker,hypertension,hypercholesterolemia, diabetes and worrying about children (all P<0.05).Conclusions A high risk of angina was associated with female gender, worker or teacher/servicemen/merchantmen, living in urban, lower average household income, serious economic hardship, smoking, hypertension, hyperlipidemia, diabetes and worrying about children. We should take interventions against angina in the high-risk population.
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Key words:
- Elderly /
- Angina /
- Prevalence /
- Risk factors
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