目的 了解安徽省14个县区成年居民脑卒中的患病现状,分析其影响因素。方法 采用多阶段分层整群抽样的方法,在皖北、皖南和皖中3个地区抽取14个县区共8 208人,通过问卷调查了解其脑卒中患病现状,采用多因素logistic 回归分析探讨脑卒中患病的影响因素。结果 本次调查脑卒中患病率为4.13%,其中男性4.17%,女性4.09%。多因素 Logistic 回归分析结果显示,与皖北地区、家庭纯收入低于1万元、从不饮酒人群相比,皖南地区(OR=0.638)、家庭纯收入1~5万(OR=0.671)、家庭纯收入5~10万(OR=0.506)、家庭纯收入10万以上(OR=0.445)、现在饮酒(OR=0.537)与安徽省成年居民脑卒中患病率呈负相关;与年龄18~60岁、无高血压、无糖尿病、从不饮酒、无脑卒中家族史、正常体重人群相比,年龄60~70岁(OR=2.703)、年龄70岁以上(OR=3.363)、高血压(OR=5.804)、糖尿病(OR=1.761)、戒酒(OR=2.329)、家族史(OR=3.569)、肥胖(OR=1.564)与安徽省成年居民脑卒中患病率呈正相关。结论 安徽省成年居民脑卒中患病率较高,地区分布、年龄、家庭收入、高血压、糖尿病、饮酒、脑卒中家族史、体质量指数与脑卒中患病率相关。应根据脑卒中影响因素的人群分布划定重点干预对象,降低脑卒中患病率。

Objective To understand the prevalence of stroke among adult residents in 14 counties / districts of Anhui Province and analyze its influencing factors. Methods A multi-stage stratified cluster sampling method was used to sample a total of 8208 people from 14 counties / districts in northern,southern and central Anhui.Questionnaire surveys were used to understand their stroke prevalence,and multivariate logistic regression analysis was used to analyze and explore the influencing factors of stroke. Results The prevalence of stroke in this survey was 4.13%,of which 4.17% were males and 4.09% were females.The results of multivariate logistic regression analysis showed that compared with people in northern Anhui,whose household net income was less than 10,000 yuan and never drank alcohol,southern Anhui (OR=0.638),household net income of 10,000 to 50,000 (OR=0.671) ,household net income of 50,000 to 100,000 (OR=0.506),household net income of more than 100,000 (OR=0.445),and current drinking (OR=0.537) were negatively correlated with the prevalence of stroke among adult residents in Anhui Province.Compared with people aged 18-60,no high blood pressure,no diabetes,never drinking,no family history of stroke,and normal weight,people aged 60-70 years (OR=2.703),over 70 years old (OR=3.363) ,hypertension (OR=5.804),diabetes (OR=1.761),alcohol withdrawal (OR=2.329),family history (OR=3.569),obesity (OR=1.564) were positively correlated with the prevalence of stroke in adults in Anhui Province. Conclusion The prevalence of stroke among adult residents in Anhui Province is relatively high.Regional distribution,age,family income,hypertension,diabetes,drinking,family history of stroke,and body mass index are related to the prevalence of stroke.The key intervention targets should be designated according to the population distribution of factors affecting stroke to reduce the prevalence of stroke.