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阮亮, 肖永康, 胡传来, 蒋建华, 张宝. 合肥市知识分子人群冠心病患病及危险因素分析[J]. 中国公共卫生, 2009, 25(10): 1238-1239. DOI: 10.11847/zgggws2009-25-10-45
引用本文: 阮亮, 肖永康, 胡传来, 蒋建华, 张宝. 合肥市知识分子人群冠心病患病及危险因素分析[J]. 中国公共卫生, 2009, 25(10): 1238-1239. DOI: 10.11847/zgggws2009-25-10-45
RUAN Liang, XIAO Yong-kang, HU Chuan-lai, . Prevalence and risk factors of coronary heart disease among senior intellectuals[J]. Chinese Journal of Public Health, 2009, 25(10): 1238-1239. DOI: 10.11847/zgggws2009-25-10-45
Citation: RUAN Liang, XIAO Yong-kang, HU Chuan-lai, . Prevalence and risk factors of coronary heart disease among senior intellectuals[J]. Chinese Journal of Public Health, 2009, 25(10): 1238-1239. DOI: 10.11847/zgggws2009-25-10-45

合肥市知识分子人群冠心病患病及危险因素分析

Prevalence and risk factors of coronary heart disease among senior intellectuals

  • 摘要: 目的分析安徽省合肥市知识分子人群冠心病(CHD)的患病情况及主要危险因素,为冠心病防治提供依据。方法采用整群抽样方法,对合肥市4726名35岁以上知识分子进行冠心病患病情况调查。比较不同年龄、性别的冠心病患病率,同时进行相关危险因素Logistic回归分析。结果调查对象中共检出冠心病患者265例,患病率为5.6%;其中男性为5.1%,女性为6.9%,女性高于男性(χ2=6.126,P<0.05);男女性患病率均随年龄增长呈增加趋势,男性χ2=149.056,P<0.001;女性χ2=111.099,P<0.001)。多因素分析显示,冠心病的主要危险因素为年龄(OR=3.627,95%CI=2.905~4.529,P=0.000)、性别(OR=0.692,95%CI=0.501~0.955,P=0.025)、冠心病家族史(OR=2.347,95%CI=1.656~3.327,P=0.000)、高血压(OR=1.537,95%CI=1.144~2.064,P=0.004)、腰臀比(OR=1.463,95%CI=1.091~1.961,P=0.011)、食盐摄入(OR=1.236,95%CI=1.009~1.516,P=0.041)。结论合肥市知识分子人群冠心病患病率较高,应作为冠心病高危人群进行干预预防。

     

    Abstract: ObjectiveTo analyze prevalence and risk factors of coronary heart disease among senior intellectuals in Hefei and to provide reference for prevention and control of the disease Metbods A total of 4726 subjects above 35 years old were selected with cluster sampling The prevalence of coronary heart disease in different gender and age groups, and factors related to the disease were analyzed with non-conditional logistic regression Results In the survey, 256 coronary heart disease cases were identified with a prevalence of 5.6%.The prevalence was 5.1% in the male, and 6.9% in the female(χ2=6.126, P<0.05).The prevalence of coronary heart disease increasedwith age(male: χ2=149.056, P<0.001; female: χ2=111.099, P<0.001).Multi-variate logistic regression analysis showed that factors associated with coronary heart disease were age (OR=3.627, 95% CI=2.905-4.529, P=0.000),gender(OR=0.692, 95% CI=0.501-0.955, P=0.025),family history of coronary heart disease (OR=2.347, 95% CI=1.656-3.327, P=0.000),hypertension (OR=1.537, 95% CI=1.144-2.064, P=0.004),waist-hip ratio (OR=1.463, 95% CI=1.091-1.961, P=0.011) and salt intake(OR=1.236, 95% CI=1.009-1.516, P=0.041).ConclusionThe prevalence of coronary heart disease in senior intellectuals in Hefei was higher and comprehensive intervention measures should be taken against the risk factors of the disease.

     

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