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目的 :了解秦皇岛市海港区流动人口血脂异常的患病率及其危险因素,为制定和评价卫生政策以及干预措施提供依据。方法 :采取按不同行业分层、多阶段整群抽样的方法,于2014年调查秦皇岛市海港区18岁及以上300名流动人口;进行问卷、一般体格检查及血糖、血脂测定,检测结果经Spss16.0统计软件进行统计分析。结果:本次共调查300人,其中男性168人,平均年龄37岁,女性132人,平均年龄42岁。秦皇岛市海港区18岁及以上流动人口血脂异常患病率为63.7%(191/300);男女患病率分别为60.3%、68.0%,血脂异常的患病率随年龄的增加呈现上升后下降趋势,在45岁以前,男性血脂异常的患病率明显高于女性,而45岁以后女性血脂异常的患病率明显高于男性;其中单纯性高甘油三酯血症、单纯性高胆固醇血症、单纯性低高密度脂蛋白胆固醇血症和混合型高脂血症的患病率分别为2.8%、4.2%、61.0%和1.9%,多因素Logistic回归分析显示:女性、低年龄组、有高血压史、体重指数和空腹血糖升高为高脂血症的危险因素(男性、年龄增加、吸烟、超重或肥胖、中心型肥胖、高血压、高血糖均为血脂异常的独立危险因素)。结论 :秦皇岛市海港区2014年18岁及以上流动人口血脂异常病患病率较高,应该加强健康教育,开展危险因素的干预,改变民众不良生活方式等综合干预措施。
Objective: To understand the prevalence and risk factors of dyslipidemia among floating population in harbor area of Qinhuangdao and to provide basis for formulating and evaluating health policies and interventions. Methods: By means of stratified and multi-stage cluster sampling in different industries, a total of 300 floating population aged 18 years and over in the harbor area of Qinhuangdao City were surveyed in 2014. Questionnaires, general physical examination and blood glucose and blood lipids were conducted. The test results were analyzed by Spss16 .0 statistical software for statistical analysis. Results: A total of 300 people were surveyed, including 168 males, with an average age of 37 years and 132 females, with an average age of 42 years. The prevalence of dyslipidemia was 63.7% (191/300) in migrant population aged 18 years and over in Qinhuangdao harbor area. The prevalence rates of male and female were 60.3% and 68.0% respectively. The prevalence of dyslipidemia increased with the increase of age and then decreased Trend, before the age of 45, the prevalence of dyslipidemia in men was significantly higher than that of women, while the prevalence of dyslipidemia in women after 45 years of age was significantly higher than that of men; simple hypertriglyceridemia, simple hypercholesterolemia The prevalence of simple low-density lipoprotein cholesterol and mixed hyperlipidemia were 2.8%, 4.2%, 61.0% and 1.9%, respectively. Multivariate Logistic regression analysis showed that the prevalence rates of women with low age group, There is a history of hypertension, body mass index and fasting blood glucose as risk factors for hyperlipidemia (men, age, smoking, overweight or obesity, central obesity, hypertension, hyperglycemia are independent risk factors for dyslipidemia) . Conclusion: The prevalence of dyslipidemia in migrant population aged 18 years and above was higher in Haidian District of Qinhuangdao in 2014. Comprehensive interventions should be strengthened such as health education, intervention of risk factors, and change of people’s bad life style.