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中国深圳社区居民心血管疾病风险状况的程度及性别差异

Magnitude of and gender differences in cardiovascular risk profiles among community residents in Shenzhen, China.

作者信息

Li H, Yan X, Deng X, Yang L, Zhao S, Zou J, Luo Y, Cao S

机构信息

School of Medicine, Shenzhen University, Shenzhen, China.

Longhua District Center for Chronic Disease Prevention and Control, Shenzhen, China.

出版信息

Public Health. 2017 Jun;147:59-65. doi: 10.1016/j.puhe.2017.02.008. Epub 2017 Mar 11.

DOI:10.1016/j.puhe.2017.02.008
PMID:28404497
Abstract

OBJECTIVES

Understanding the prevalence of cardiovascular disease (CVD) risk factors has an impact on the public policy for initiating CVD prevention. This study aimed to examine the prevalence of current smoking, overweight/obesity, hypertension, diabetes mellitus (DM), and dyslipidemia among Shenzhen residents and to investigate gender differences in CVD risk profiles to identify the subgroups at higher risk.

STUDY DESIGN

A large cross-sectional study was conducted between April and May 2015.

METHODS

Using multistage cluster random sampling methods, a total of 1784 residents finished the face-toface interview survey. Physical examinations and blood tests were performed by qualified professionals.

RESULTS

The prevalence of current smoking, overweight/obesity, hypertension, DM, and dyslipidemia were 21.8%, 40.6%, 17.6%, 4.8%, and 35.7%, respectively. Clustering of two or more or three or more of CVD risk factors was noted in 35.7% and 14.1% of participants. The prevalence of current smoking (45.0% vs 1.1%, P < 0.001), overweight/obesity (48.5% vs 33.4%, P < 0.001), hypertension (19.7% vs 15.7%, P < 0.05), and dyslipidemia (46.5% vs 20.5%, P < 0.001) was found higher among male than among female participants.

CONCLUSIONS

This study adds to the evidence suggesting high prevalence rates of CVD risk factors and composite measures among Shenzhen residents. The higher level of CVD risk factors in male than in female residents is suggested. Effective population-based intervention programs such as smoking cessation, early detection, management, and treatment of hypertension, DM, and dyslipidemia should be initiated and enhanced especially among the males.

摘要

目的

了解心血管疾病(CVD)危险因素的流行情况对启动CVD预防的公共政策有影响。本研究旨在调查深圳居民中当前吸烟、超重/肥胖、高血压、糖尿病(DM)和血脂异常的流行情况,并调查CVD风险特征的性别差异,以确定高风险亚组。

研究设计

2015年4月至5月进行了一项大型横断面研究。

方法

采用多阶段整群随机抽样方法,共有1784名居民完成了面对面访谈调查。由合格的专业人员进行体格检查和血液检测。

结果

当前吸烟、超重/肥胖、高血压、DM和血脂异常的患病率分别为21.8%、40.6%、17.6%、4.8%和35.7%。35.7%和14.1%的参与者存在两种或更多或三种或更多CVD危险因素的聚集。男性参与者中当前吸烟(45.0%对1.1%,P<0.001)、超重/肥胖(48.5%对33.4%,P<0.001)、高血压(19.7%对15.7%,P<0.05)和血脂异常(46.5%对20.5%,P<0.001)的患病率高于女性参与者。

结论

本研究补充了证据,表明深圳居民中CVD危险因素和综合指标的患病率较高。提示男性居民的CVD危险因素水平高于女性居民。应启动并加强基于人群的有效干预项目,如戒烟、高血压、DM和血脂异常的早期检测、管理和治疗,尤其是在男性中。

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