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武汉市社区居民心血管疾病危险因素分布及聚集情况调查

Distributing and Clustering of Cardiovascular Disease Risk Factors in an Urban District of Wuhan City

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【作者】 甘俊林金建强郑艳玲薛咏红李斯俭汪国成

【Author】 GAN Junlin, JIN Jianqiang, ZHENG Yanling, et al.Huanhelou Community Health Service Center at Wuchang Distrct, Wuhan, 430030, China

【机构】 武汉市武昌区黄鹤楼街社区卫生服务中心华中科技大学同济医学院公共卫生学院社会医学与卫生事业管理系武汉市武昌区首义路社区卫生服务中心香港理工大学

【摘要】 目的描述武汉市社区35岁以上居民心血管疾病高危因素分布特点,分析在不同年龄人群中心血管疾病危险因素聚集情况。方法以湖北省武汉市某社区人群为研究对象,采用分层随机抽样的方法,开展横断面调查,对研究对象实施问卷调查,并测量每个居民的腰围、体质量、血压、血糖、血清总胆固醇等相关数据。结果研究人群中有73.7%的年龄在35~74岁之间的居民至少有1种心血管疾病危险因素,其中具有2种和3种以上危险因素的则分别占有24.5%和14.0%。具有3种以上危险因素而在65岁或以上者(23.8%)显著高于其他年龄组别,<45岁(7.2%)和45~64岁(18.0%)(χ2=97.31,P<0.001)。结论随着年龄的增加,人群中心血管危险因素随之增加。针对人群开展心血管疾病防治的健康教育在65岁及以上老年人中显得尤其重要。

【Abstract】 Objective To describe the distribution characteristics of cardiovascular disease risk factors among the residents over 35 years’ old in an urban district of Wuhan City and to analyze the clustering of cardiovascular disease risk factors among respondents stratified by age . Methods This was a cross-sectional descriptive study. Residents aged between 35~74 obtained from stratified random sampling based on the address code of the district population database.Data about waist circumference, weight, blood pressure, the fasting blood sugar, TG, TC were collected by trained data collectors through structured self-reported questionnaire. Results The present study indicates that 73.7% of subjects aged 35-74 yrs have at least one of the following CVD risk factors. Clustering of 2 and 3 or more of these risk factors was noted in 24.5% and 14.0% respectively. Particularly, it was significantly higher prevalence of ≥3 risk factors clustering in subjects aged≥65 (23.9%) compared with younger age groups,<45 (7.2%) and 45~64 (18.0%) respectively (χ2=97.31, P<0.001). Conclusions The risk factors of the cardiovascular would increase with the increase of age. It seems important that enhance health education for the prevention of cardiovascular disease in population aged over 65 years’ old.

【基金】 香港理工大学资助项目(GU508)
  • 【文献出处】 中国社会医学杂志 ,Chinese Journal of Social Medicine , 编辑部邮箱 ,2010年02期
  • 【分类号】R54
  • 【被引频次】6
  • 【下载频次】164
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