北京市某社区中老年人脑卒中患病风险调查分析

目的通过对北京市某社区中老年居民进行健康状况与脑卒中患病风险调查,了解社区中老年人脑卒中的患病率及其相关危险因素,为社区制定脑卒中防治策略提供思路。方法采取随机整群抽样调查的方法对社区≥50岁(1961年12月31日前出生)的本市户籍居民605人进行问卷调查及体检。结果被调查人群中64人患脑卒中,患病率为10.57%;多因素Logistic回归分析显示,脑卒中患病与年龄、性别、文化程度、冠心病、高血压相关(P<0.05)。脑卒中患病风险随年龄增大而增加;脑卒中患病率男性高于女性;文化程度越低患病风险越大;冠心病、高血压、腰围与脑卒中患病密切相关。结论社区中老年人脑卒中患病率较高,应针对相关危险因素,制定适宜中老年人需求的行之有效的健康教育与慢性病防治的综合干预对策。

Stroke Risk among Middle-Aged and Elderly Residents in A Community in Beijing

Objective To explore the prevalence and risk factors of stroke among urban residents in Beijing.Methods Totally 605 over-50-year-old permanent residents in a community of Beijing were enrolled by random cluster sampling.Questionnaire-based survey and physical examination were conducted.The relationship between risk factors including age,gender,education level,coronary heart disease,high blood pressure,and waist circumference and stroke were examined with unconditional multiple Logistic regression model in SPSS software.Results Of these 605 subjects,64(10.57%) were suffered from stroke.Stroke risk increased with age,men have higher incidence of stroke than women.Subjects with lower education level,history of coronary heart disease,high blood pressure,and large waist were more susceptible for stroke.Conclusion The prevalence of stroke is high in middle-aged and elderly urban residents.