江苏省苏锡常地区代谢综合征与文化程度的相关性分析

目的探讨江苏省苏锡常地区（苏州、无锡和常州）成年人群代谢综合征（MS）患病率和文化程度的相关性,以制定相应的健康干预措施。方法连续整群抽取苏锡常地区成年人群6798名,采用问卷调查、体格检查和生化指标检测采集相关资料。文化程度分为初等、中等、高等三级,采用Logistic回归分析文化程度是否是MS的独立危险因素。结果MS的各指标中腰围（WC）、收缩压（SBP）和空腹血糖（FPG）在不同文化程度人群中差异有显著性意义（P〈0．05）。三酰甘油（TG）和舒张压（DBP）在高等与中、低等文化程度人群中差异有显著性意义（P〈0．05）。高密度脂蛋白胆固醇（HDL—C）在不同文化程度人群中无差异。单因素分析显示,随着文化程度的增加,MS的患病率逐渐下降（P〈0．01）。在纳入校正年龄、性别或增加校正吸烟史、饮酒史和饮食习惯进行多因素分析后,MS的患病率仍随文化程度的增加而下降（P〈0．05）。结论文化程度是MS的独立危险因素,低、中等文化程度人群是MS的易患人群,也是代谢综合征的重点防治对象。因此,宜将健康知识纳入义务教育体制,要针对不同文化程度人群采用不同健康教育方式和干预措施。

Association of education level with metabolic syndrome in Su-Xi-Chang area of Jiangsu Province

Objective To investigate the relationship between metabolic syndrome （MS） and education level in Su-Xi-Chang area to provide evidence for healthcare policy making. Methods A clustered sampling of 6798 subjects from Su-Xi-Chang areas of Jiangsu Province was included. Questionnaires and physical examinations were completed to collect clinical data. Logistic regression was used to analyze weather education level could be an independent risk factor of MS. Results Significant differences were found in waist circumstance （WC）, systolic blood pressure （SBP） and fasting blood glucose （FBG） among participants with different education level. Significant differences were also existed in triglyceride and diastolic blood pressure （DBP） between subjects with higher and lower education level （P 〈 0. 05 ）. In single-factor or multivariate analysis, education level was negatively correlated with the prevalence of MS （ P 〈 0. 05 ）. Conclusions Education level may be an independent risk factor of MS. People with low and moderate education level have higher risk of MS. Therefore, it is recommended that health-related information should become an integral part of the compulsory education system.