目的 通过对安徽省成年居民的自报冠心病患病现状以及相关生活行为方式的调查,了解当地成年居民冠心病患病率及相关影响因素,为相关部门提供促进健康和预防冠心病的思路与对策。方法 采用多阶段分层整群随机抽样的方法,抽取安徽省18岁以上成年居民进行问卷调查,调查居民冠心病现患水平和健康行为生活方式。分别采用χ2检验和多因素二元logistic回归分析对冠心病患病率进行差异性分析和影响因素分析。结果 共调查8 279人。男性4 255人,占51.4%;女性4 024人,占48.6%。自报冠心病病例325例,患病率为3.9%,其中男性患病率为3.9%,女性患病率为4.0%。多因素logistic回归分析显示,60岁以上(OR=12.975,95%CI:4.062~41.444)、偏瘦(OR=2.800,95%CI:1.824~4.299)、具有冠心病家族史(OR=4.416,95%CI:2.950~6.608)、睡眠质量差(OR=1.693,95%CI:1.184~2.421)和患高血压(OR=4.257,95%CI:3.251~5.576)是安徽省成年居民冠心病患病的危险因素。结论 安徽省成年居民冠心病患病水平不高,影响冠心病发病的危险因素较多,应针对性地开展健康教育,积极引导居民养成良好的生活行为方式。
Abstract
Objective survey was conducted to understand the prevalence of coronary heart disease (CHD) and its influencing factors by investigating the current situation of self-reported CHD and related lifestyle behaviours among residents in Anhui Province.So as to provide relevant departments with ideas and countermeasures to prevent CHD and promote health. Methods A multi-stage stratified cluster random sampling method was used to conduct a questionnaire survey among residents over 18 years old.The current prevalence of CHD and healthy behavioral lifestyles of residents were investigated.The χ2 test was used to analyze the difference in the prevalence of CHD.Multivariate binary logistic regression analysis was used to analyze the factors influencing CHD. Results A total of 8,279 people were surveyed,including 4,255 males (51.4%) and 4,024 females (48.6%).There were 325 self-reported cases of CHD,with a prevalence rate of 3.9%,including 3.9% in male and 4.0% in female.The multivariate binary logistic regression analysis showed that being over 60 years old (OR=12.975,95%CI:4.062~41.444),low weight (OR=2.800,95%CI:1.824~4.299),familial disease history of CHD (OR=4.416,95%CI:2.950~6.608),poor sleep (OR=1.693,95%CI:1.184~2.421) and hypertension (OR=4.257,95%CI:3.251~5.576) were risk factors for CHD in adult residents of Anhui Province. Conclusion The prevalence of CHD among adult residents in Anhui Province is not high,however,there are many risk factors affecting the development of CHD.Hence,health education should be carried out in a targeted manner to actively guide residents to develop good lifestyle behaviors.
关键词
冠心病 /
患病率 /
logistic回归分析 /
影响因素 /
现况调查
Key words
Coronary heart disease /
Prevalence /
Logistic regression analysis /
Influencing /
Factors /
Cross-sectional study
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 张梅,王丽敏.我国慢性非传染性疾病流行状况及防控策略[J].中国医学前沿杂志(电子版),2016,8(12):1-6.
[2] 健康中国行动(2019-2030)[J].中国组织工程研究,2020,24(36):5905.
[3] Xu Han,Lixuan Gui,Bing Liu,et al.Associations of the uric acid related genetic variants in SLC2A9 and ABCG2 loci with coronary heart disease risk[J].BMC Genetics,2015,16(1):4.
[4] 邢秀雅,曹丹,陈叶纪,等.安徽省2015年心脑血管事件监测结果分析[J].安徽预防医学杂志,2017,23(04):236-240.
[5] 中国高血压防治指南修订委员会.中国高血压防治指南 2010[J].中华高血压杂志,2011,19(8):701-743.
[6] World Health Organisation.Guidelines for control lingand monitoring the tobacco epidemic.Geneva:Tobaccoor Heahh Programme,WHO,1997.
[7] 中国疾病预防控制中心慢性非传染性疾病预防控制中心.中国慢性病及其危险因素监测报告(2010) [M].北京:军事医学科学出版社,2012:8-15.
[8] 中华人民共和国卫生部疾病控制司.中国成人超重和肥胖症预防控制指南[M].北京:人民卫生出版社,2006.
[9] 李慧君,李文龙,吴辉,等.河南省新乡县成年农村居民冠心病患病现状及其影响因素分析[J].中国公共卫生,2017:1-5.DOI:10.11847/zgggws1125491.
[10] 温丽影.安徽某地区成人睡眠时间和睡眠质量与常见慢性病关系的现况研究[D].合肥:安徽医科大学,2016.
[11] 王慧,张馗,王洋.CAD的相关影响因素分析[J].中国当代医药,2021,28(1):75-77.
[12] 王晶晶.吴江区老年冠心病高危人群健康现状调查及其影响因素分析[J].实用老年医学,2020,34(12):1279-1282.
[13] 吾尔拉加甫·巴德阿拉.哈密市居民慢性病患病现况调查及其影响因素分析[D].乌鲁木齐:新疆医科大学,2019.
[14] 张湘颖,吴秀梅,彭瑾.山东黄河河务局济南地区职工冠心病现况调查和危险因素分析[J].华南预防医学,2021,47(2):225-227.
[15] 汤柏赞,张靖婧,邵海峰,等.齐齐哈尔市≥20岁城市居民冠心病患病现状及危险因素分析[J].中国公共卫生,2017,33(6):985-987.
[16] Matsuda R,Kohno T,Kohsaka S,et al.The prevalence of poor sleep quality and its association with depression and anxiety scores in patients admitted for cardiovascular disease:A cross-sectional designed study[J].Int J Cardiol,2017,228(91):977-982.
[17] 刘文龙,刘维军.心血管常见疾病与睡眠质量的关系研究[J].世界最新医学信息文摘,2019,19(43):116.
[18] 乐娟,崔艳,李艳.冠心病及冠心病并发高血压患者外周血红细胞参数变化及临床意义[J].国际检验医学杂志,2018,39(18):2226-2229.
[19] 徐志娜,周建松,古忆,等.血浆同型半胱氨酸与冠心病的相关性及其与冠心病传统危险因素的关系[J].贵州医科大学学报,2016,41(11):1318-1321.
[20] 兰晶,郭潇繁.冠心病合并高血压患者血压达标情况及影响因素[J].中国卫生工程学,2020,19(6):876-877+880.
[21] 许晶晶,李向平,陈名杰.焦虑抑郁情绪对冠心病患者血清炎症因子及血管内皮功能的影响[J].中国循环杂志,2011,26(6):426-429.
[22] 张玉琴,侯翠霞.高血压患者合并冠心病的相关危险因素分析[J].安徽预防医学杂志,2020,26(2):139-141.DOI:10.19837/j.cnki.ahyf.2020.02.016.
基金
基于大型前瞻性队列的恶性肿瘤相关危险因素监控系统验证和评估(2016YFC1302605);肝癌高危人群社区队列研究(2017YFC0908103)
PDF(860 KB)
