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目的分析天津市城乡居民心血管病危险因素水平和流行特征。方法三阶段分层整群抽取全市代表性的样本量≥18岁4073人,进行入户的问卷调查、体格检查和血生化检测。结果总胆固醇升高、高血压、糖代谢异常、吸烟和超重/肥胖是心血管病流行的危险因素,天津市城乡居民拥有≥1、≥2个危险因素的分别占69.2%和34.5%(高血压、糖代谢异常、吸烟和超重/肥胖)。年龄越高,拥有≥1、≥2个危险因素的风险越高。与0个心血管危险因素相比,拥有≥1、≥2个危险因素的人群男性风险分别是女性的2.54倍(95%CI:2.20~2.93)和3.02倍(95%CI:2.57~3.55);拥有≥1、≥2个危险因素的城市人口风险是农村人口的0.72倍(95%CI:0.63~0.83)和0.76倍(95%CI:0.66~0.89)。结论天津市男性和农村人群应为心血管病危险因素综合防治的重点人群。
Objective To analyze the prevalence and prevalence of cardiovascular risk factors in urban and rural residents in Tianjin. Methods The three-stage stratified cluster was used to sample 4073 representative samples of the city ≥ 18 years old. The questionnaires, physical examinations and blood biochemical tests were conducted. Results The total cholesterol, hypertension, abnormal glucose metabolism, smoking and overweight / obesity were the risk factors for the prevalence of cardiovascular disease. The urban and rural residents in Tianjin had ≥1 and ≥2 risk factors accounted for 69.2% and 34.5% respectively Blood pressure, abnormal glucose metabolism, smoking and overweight / obesity). The higher the age, with ≥ 1, ≥ 2 risk factors the higher the risk. Men with ≥1 or ≥2 risk factors were 2.54 times (95% CI: 2.20 to 2.93) and 3.02 times (95% CI: 2.57 to 3.55) respectively for women than for 0 cardiovascular risk factors . The risk of urban population with ≥1 or ≥2 risk factors is 0.72 times (95% CI: 0.63-0.83) and 0.76 times (95% CI: 0.66-0.89) of the rural population. Conclusion Male and rural population in Tianjin should be the key population for comprehensive prevention and control of cardiovascular risk factors.