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朱卫红, 黄久仪, 管阳太. 上海市50岁城镇社区居民脑卒中危险因素调查[J]. 中国公共卫生, 2015, 31(3): 276-279. DOI: 10.11847/zgggws2015-31-03-06
引用本文: 朱卫红, 黄久仪, 管阳太. 上海市50岁城镇社区居民脑卒中危险因素调查[J]. 中国公共卫生, 2015, 31(3): 276-279. DOI: 10.11847/zgggws2015-31-03-06
ZHU Wei-hong, HUANG Jiu-yi, GUAN Yang-tai. Risk factors of stroke among urban community residents aged 50 years and older in Shanghai:a cross-sectional study[J]. Chinese Journal of Public Health, 2015, 31(3): 276-279. DOI: 10.11847/zgggws2015-31-03-06
Citation: ZHU Wei-hong, HUANG Jiu-yi, GUAN Yang-tai. Risk factors of stroke among urban community residents aged 50 years and older in Shanghai:a cross-sectional study[J]. Chinese Journal of Public Health, 2015, 31(3): 276-279. DOI: 10.11847/zgggws2015-31-03-06

上海市50岁城镇社区居民脑卒中危险因素调查

Risk factors of stroke among urban community residents aged 50 years and older in Shanghai:a cross-sectional study

  • 摘要: 目的探讨上海市≥50岁城镇社区居民脑卒中危险因素及脑血流动力学指标(CVHI)异常与脑卒中发生的关系, 为采取相应的干预措施提供参考依据。方法采用整群随机抽样方法对在上海市长白和五角场镇社区抽取的2 031名≥50岁社区居民进行脑卒中危险因素问卷调查、体格检查和CVHI检测。结果上海市≥50岁城镇社区居民高血压、心血管病、糖尿病、高脂血症、脑卒中家族史、超重或肥胖、吸烟和饮酒等危险因素暴露率分别为51.1%、30.3%、18.2%、21.6%、26.9%、46.3%、11.6%和8.0%;CVHI积分值<75分的脑卒中高危个体比例为42.0%, 且随着年龄增长呈显著的上升趋势(χ2=100.620, P<0.01);CVHI积分值0~24.9、25.0~49.9、50.0~74.9、75.0~100分者分别占7.9%、12.6%、21.5%、58.0%, 不同年龄居民CVHI积分值分布差异有统计学意义(χ2=123.87, P<0.01)。结论上海市≥50岁城镇社区居民脑卒中危险因素的暴露率处于较高水平, 脑卒中高危个体较多, 且高危个体比例随年龄增长而升高。

     

    Abstract: ObjectiveTo describe risk factors of stroke and the relationship between cerebral hemodynamic index(CVHI)abnormality and stroke risk among urban community residents aged ≥50 years in Shanghai and to provide references for stroke intervention.MethodsA questionnaire survey,physical examination and CVHI measurement were conducted among 2 031 residents at the age of 50 years or older selected with cluster sampling from Changbai and Wujiaochang communities of urban Shanghai.ResultsAmong the participants,the prevalence rates for conventional risk factors of stroke were 51.1% for hypertension,30.3% for cardiovascular disease,18.2% for diabetes mellitus,21.6% for hyperlipidemia,26.9% for familial stroke history,46.3% for overweight or obesity,11.6% for smoking,and 8.0% for alcohol consumption,respectively.There were 42.0% of the participants were at a high risk of stroke(with the integral CVHI score of<75)and the percentage of the individuals with the CVHI score of<75 increased significantly with the increment of age among the participants(P<0.01).ConclusionThe prevalence of stroke risk factors is at a high level and the number of persons at a higher stoke risk increases with the increment of age among urban community residents at their age of 50s and over in Shanghai.

     

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