2010-2012年广西5市县≥18岁城乡居民心血管疾病危险因素及聚集状况分析

目的 分析广西城乡≥18岁居民心血管疾病的危险因素及聚集性情况。方法 利用2010-2012年中国居民营养与健康状况监测项目广西调查点资料，选取广西5市、县≥18岁城乡居民作为调查对象，运用多分类Logistic回归模型分析风险比值。结果 被调查者超重肥胖率、高血压患病率、糖尿病患病率、血脂异常率（标化率）分别为23.5%、23.7%、8.0%、40.1%。63.4%的人群至少有1种及以上心血管危险因素，1种、2种、≥3种心血管危险因素聚集比例分别为34.2%、19.7%、9.5%；男性1种、2种、≥3种心血管危险因素聚集风险分别是女性的1.281倍、1.536倍和1.600倍；>65岁人群1种、2种、≥3种心血管危险因素聚集风险分别是18~34岁年龄组的3.714倍、10.366倍和26.662倍；汉族人群2种、≥3种心血管危险因素聚集风险分别是壮族及其他少数民族1.267倍和1.620倍；城镇居民2种、≥3种聚集风险是农村居民的1.366倍和2.587倍。结论 广西城乡居民心血管危险因素聚集性较高，特别是血脂异常率对心血管危险因素聚集性的贡献率较大，应加强血脂异常率高危人群管理和防治，减少心血管疾病的发生和发展。

Clustering status and risk factors analysis of cardiovascular disease among residents aged 18 and above from five cities and counties in Guangxi Province

Objective To analyse the clustering status and risk factors of cardiovascular disease among residents aged 18 and above from five cities and counties in Guangxi Province. Methods Data were collected from Chinese residents' nutrition and health monitoring (2010-2012). Odds ratio was assessed by multinomial logistic regression. Results The overweight and obesity rate was 23.5%, the prevalence of hypertension and diabetes was 23.7% and 8.0% respectively, also the abnormal rate of dyslipidemia was 40.1%.63.4% had at least one cardiovascular risk factor, 34.2%, 19.7% and 9.5% of participants had 1, 2, and ≥3 major cardiovascular risk factors. The odds ratios of 1, 2 and ≥3 cardiovascular risk factors in men were 1.281, 1.536, and 1.600 times than women. The odds ratio in older age group (>65)were 3.714,10.366 and 26.662 times than those in younger age group (18-34). The odds ratio of 2 and ≥3 cardiovascular risk factors in the Hans were 1.267 and 1.620 times than those in the Zhuang and other minorities,and 1.366 and 2.587 times than those in rural area. Conclusions The cardiovascular risk factors of adult residents in Guangxi Province showed high clustering, especially the dyslipidemia. It is necessary to strength the management on high risk population of dyslipidemia so as to reduce the incidence and improve the progress of cardiovascular disease.