Anhui Provincial Center for Disease Control and Prevention, Department of Chronic Non-communicable Disease Prevention and Control, Hefei, China.
Department of Rheumatology and Immunology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Front Public Health. 2022 Aug 25;10:921038. doi: 10.3389/fpubh.2022.921038. eCollection 2022.
To investigate the detection rate and influencing factors of high-risk population of cardiovascular disease in Anhui province.
From March 2017 to August 2019, the residents aged 35-75 years old were selected using the multi-stage stratified cluster sampling method in 8 counties and districts of Anhui Province, and questionnaire survey, anthropometric measurement, and collection of biological samples were carried out among them.
A total of 99,821 residents in Anhui Province were finally investigated, and among them 21,426 residents were detected to be high-risk groups of cardiovascular disease. The detection rate of high-risk groups was 21.46%. According to the high-risk types, the high-risk groups can be clustered. 74.57% of them had only one high-risk type, 22.57% of them had two high-risk types, and 2.86% had three or more high-risk types. The results of Generalized Linear Mixed Model (GLMM) showed that male, age ≥45 years old, not married, occupation as a farmer, annual family income <25,000 yuan, drinking, overweight and obesity, pre-central obesity and central obesity, snoring, feeling fatigued, sleepiness, and self-reported history of diabetes were more likely to be risk factors of cardiovascular disease (all value < 0.05).
The detection rate of high-risk groups of cardiovascular disease in Anhui Province is relatively high. Individualized intervention measures as well as comprehensive prevention and control strategies should be adopted focusing on the distribution characteristics of risk factors of high-risk groups.
调查安徽省心血管疾病高危人群的检出率及其影响因素。
采用多阶段分层整群抽样方法，于 2017 年 3 月至 2019 年 8 月在安徽省 8 个县（区）抽取 35-75 岁常住居民进行问卷调查、体格测量和生物样本采集。
共调查安徽省 99821 名居民，检出心血管疾病高危人群 21426 人，检出率为 21.46%。根据高危类型进行聚类分析，74.57%的高危人群为单一种类高危，22.57%的高危人群为两种高危，2.86%的高危人群为 3 种及以上高危。广义线性混合模型（GLMM）结果显示，男性、年龄≥45 岁、未婚、农民、家庭年收入<25000 元、饮酒、超重或肥胖、中心性肥胖前期、中心性肥胖、打鼾、易疲劳、嗜睡和糖尿病史是心血管疾病的危险因素（均 P<0.05）。
安徽省心血管疾病高危人群的检出率较高，应针对高危人群的危险因素分布特点，采取个体化干预措施和综合防控策略。
