天津市城乡居民心血管病危险因素流行水平的研究

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。

Prevalence of cardiovascular disease risk factorsin adults in Tianjin

Objective To analyze the prevalence of cardiovascular disease (CVD) risk factors in adults in both urban and rural areas in Tianjin. Methods A total of 4073 persons aged18 years were selected in Tianjin through 3-stage stratified random sampling to conduct household survey and health examination. Results Hypercholesterolemia, hypertension, diabetes, abnormalglucosemetabolism, smoking, and overweight/obesity were the risk factors for CVD in adults in Tianjin. The adults with 1 and 2 risk factors (hypertension, diabetes, smoking, and overweight/obesity) accounted for 69.2% and 34.5%. The prevalence of 1 or 2 risk factors increased with age. The prevalence of 1 and 2 risk factors in men were 2.54 and 3.02 times higher than those in women (95%CI:2.20-2.93 and 95%CI:2.57-3.55). The prevalence of 1 and 2 risk factors in urban adults were 0.72 and 0.76 times higher those in rural adults(95%CI:0.63-0.83 and 95%CI:0.66-0.89). Conclusion The prevention and control of CVD should be strengthened in males and in rural population.