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目的了解贵州省成年居民血脂异常患病现状及其危险因素,为血脂异常的预防控制提供参考依据。方法于2011年8—12月采用多阶段分层整群随机抽样方法对在贵州省抽取的9 280名≥18周岁成年居民进行问卷调查、体格检查和实验室检测。结果贵州省成年居民血脂异常者患病率为58.1%,高总胆固醇血症、高甘油三酯血症、高低密度脂蛋白胆固醇血症和低高密度脂蛋白胆固醇血症患病率分别为11.9%、18.9%、9.6%和37.4%;贵州省成年居民对血脂异常诊断的知晓率为3.9%,男性和女性居民知晓率分别为3.7%和4.1%,城市和农村居民知晓率分别为4.2%和3.8%,18~44、45~59和≥60岁居民知晓率分别为1.9%、5.7%和6.3%,居民血脂异常诊断知晓率随着年龄增长呈增高趋势(χ2=58.253,P<0.001);多因素非条件logistic回归分析结果显示,居住在农村、吸烟、饮酒、红肉摄入过多、谷薯类摄入不足、高血压、糖尿病和超重/肥胖是贵州省成年血脂异常患病的危险因素。结论贵州省成年居民血脂异常患病率较高,且对血脂异常诊断的知晓率较低;居住地及是否吸烟、饮酒、红肉摄入过多、谷薯类摄入不足、高血压、糖尿病、超重/肥胖为该地区成年居民血脂异常患病的主要危险因素。
Objective To understand the prevalence and risk factors of dyslipidemia among adult residents in Guizhou Province and provide reference for the prevention and control of dyslipidemia. Methods From August to December in 2011, a multistage stratified cluster random sampling method was used to conduct questionnaires, physical examinations and laboratory tests on 9 280 adult residents aged 18 or older in Guizhou Province. Results The prevalence of dyslipidemia among adult residents in Guizhou Province was 58.1%. The prevalence rates of hypercholesterolemia, hypertriglyceridemia, high and low density lipoprotein cholesterol, and low-density lipoprotein cholesterol were 11.9%, 18.9%, 9.6% and 37.4% respectively. The rate of awareness among adults in Guizhou Province for the diagnosis of dyslipidemia was 3.9%, that for men and women was 3.7% and 4.1% respectively, and that for urban residents and rural residents was 4.2% The awareness rates of residents with dyslipidemia increased with age (χ2 = 58.253, P <0. 05), and the rates of awareness among residents with 18 ~ 44,45 ~ 59 and ≥60 were 1.9%, 5.7% and 6.3% 0.001). Multivariate non-conditional logistic regression analysis showed that living in rural areas, smoking, drinking, excessive intake of red meat, insufficient intake of cereal tuberosity, hypertension, diabetes and overweight / obesity were the risk factors of adult dyslipidemia Disease risk factors. Conclusion The prevalence of dyslipidemia among adult residents in Guizhou Province is high, and the rate of awareness about the diagnosis of dyslipidemia is low. Whether smoking, drinking, excessive intake of red meat, inadequate consumption of grains and tubers, hypertension, diabetes , And overweight / obesity are the major risk factors for dyslipidemia among adult residents in the area.