| 引用本文：刘庭明,孙纪新,阎丽静,等.农村心血管病高危个体检出率及影响因素分析——基于河北两县的抽样调查[J].中国卫生政策研究,2013,6(10):21-26 |
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| 农村心血管病高危个体检出率及影响因素分析——基于河北两县的抽样调查 |
| 投稿时间：2013-03-09 修订日期：2013-10-11 PDF全文浏览 HTML全文浏览 |
| 刘庭明1, 孙纪新2, 阎丽静3, 武阳丰3,4, 张建新2 |
1. 陕西省安康职业技术学院 陕西安康 725000
2. 河北省疾病预防控制中心 河北石家庄 050021
3. 北京大学医学部乔治健康研究所 北京 100088
4. 北京大学医学部公共卫生学院 北京 100191 |
| 摘要:目的:初步了解我国农村地区心血管病高危个体的流行现状及影响因素。 方法:在河北省鹿泉和安国两市(县),采用分层随机抽样方法,每县分别选择12个村中20岁及以上成年人共2 033名进行体格检查和问卷调查。运用多因素logistic回归分析其影响因素。结果:加权调整心血管病高危个体检出率为20.0%,随年龄增长呈显著上升趋势(P<0.001)。多因素logistic分析发现,除性别、年龄与之相关外,超重/肥胖、文化程度低以及体力活动缺乏也均与之显著相关。其中,肥胖者高危检出率为体重正常者的2.3倍,未上学者是高中及以上文化程度者的3.1倍,不干体力活者是每天干体力活者的2.1倍。结论: 我国农村成人中心血管病高危个体已十分常见,其中受教育水平较低的人群比例更高。农村的心血管病防控亟需出台相关政策促进健康生活方式,保护弱势人群。 |
| 关键词:心血管病 高危个体 检出率 影响因素 农村成年人 |
| 基金项目:美国国立心肺血研究所资助项目(HHSN268200900027C) |
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| Individuals at high risk of cardiovascular disease and risk factors in rural China：A survey in two counties in Hebei Province |
| LIU Ting-ming1, SUN Ji-xin2, YAN Li-jing3, WU Yang-feng3,4, ZHANG Jian-xin2 |
1. Department of Clinical Medicine, Ankang Vocational Technical College, Shaanxi Ankang 725000, China
2. Hebei Center for Disease Control and Prevention, Hebei Shijiazhuang 050021, China
3. The George Institute for Global Health at Peking University Health Science Center, Beijing 100088, China
4. School of Public Health, Peking University Health Science Center, Beijing 100191, China |
| Abstract:Objective:To investigate the prevalence of individuals at high risk of cardiovascular disease and the risk factors for cardiovascular disease in rural China. Methods:2033 subjects above the age of 20 were surveyed. These subjects came from Luquan and Anguo counties in Henan (12 villages per county). The method of used was stratified cluster random sampling. All subjects received standardized physical examinations and were asked to complete a questionnaire. Multivariable logistic regression was used to analyze the associated risk factors. Results:The weighted detection rate of individuals at high risk of cardiovascular disease was 20.0%, with significantly higher rates for older ages (P < 0.001). In addition to sex and age, obesity, low levels of education, and lack of physical activity all significantly increased cardiovascular risk. The risk of cardiovascular disease in an overweight person was 2.3 times that of someone of normal weight. The risk of cardiovascular disease in a person with no education was 3.1 times that of someone with a high school education or above. The risk of cardiovascular disease in someone who did non-laboring work was 2.1 times that of a laborer. Conclusions:There are many individuals at high risk of cardiovascular disease among adults in rural China, especially for people with low education. Policies for preventing chronic disease are urgently needed to protect disadvantaged populations and improve their health. |
| Key words:Cardiovascular disease High-risk individuals Detection rate Risk factors Rural adults |
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