赤峰市中年脑卒中高危人群危险因素的城乡差异

目的探讨赤峰市中年脑卒中高危人群危险因素的城乡差异。方法整群抽取赤峰市40~65岁中年常住户籍居民进行面对面的访视、基本信息的收集和体检,并对筛查结果进行统计分析。结果共调查40~65岁中年高危人群1832人,其中城市居民950人(51.9%),乡村居民882人(48.1%),城乡居民年龄、性别差异无统计学意义(P>0.05);脑卒中家族史、高血压病、糖尿病、超重或肥胖、血脂异常在城市的暴露率高于乡村(P<0.05);而缺乏运动、吸烟史的暴露率低于乡村(P<0.05)。结论赤峰市中年脑卒中高危人群中危险因素暴露存在城乡差异,应进行针对性的卒中防治策略,城市重点关注高血压、糖尿病、血脂异常、肥胖等疾病的控制,乡村着重对吸烟、运动不足等不良生活方式的干预。

Rural-urban difference of risk factors in middle-aged high-risk groups with stroke in Chifeng City

Objective To investigate the rural-urban difference of risk factors in middle-aged high-risk groups with stroke in Chifeng City. Methods The method of cluster sampling was used for the urban and rural resident population aged 40 to 65 years old in Chifeng City, and those residents had face-to-face interviews and physical examinations to collect the basic information. The screening results were statistically analyzed. Results 1 832 middle-aged high-risk residents aged 40 to 65 were included in the study, including 950 urban residents (51.9%) and 882 rural residents (48.1%).There was no significant difference in age and gender between urban and rural residents (P>0.05). The exposure rates, such as family history of stroke, hypertension, diabetes, overweight or obesity, and dyslipidemia in urban residents were higher than those in rural residents(P<0.05), while the exposure rates of lack of exercise and smoking history were lower (P<0.05). Conclusion There are differences in the exposure of risk factors between rural-urban middle-aged high-risk groups with stroke in Chifeng City. It is necessary to carry out the targeted stroke prevention and treatment strategies, the focus of city is on the control of diseases such as hypertension, diabetes, dyslipidemia, and obesity, while the focus of village is on the intervention of unhealthy lifestyles such as smoking and insufficient exercise.