Department of Nursing, The Second People's Hospital of Qinzhou, No.219 of Wenfeng South Road, Qinzhou, 535000, China.
J Cardiothorac Surg. 2023 Feb 10;18(1):70. doi: 10.1186/s13019-023-02137-0.
We aimed to estimate the prevalence of CRFs and investigate its associated social-economic factors among adults in coastal areas of Qinzhou, Guangxi.
A representative sample of 1836 participants aged 20 to 70 years was included in Qinzhou, Guangxi in 2020. Data were collected by the questionnaire, anthropometric and laboratory measurements. The prevalence of CRFs, including hypertension, dyslipidemia, diabetes, overweight or obesity, alcohol consumption, and smoking were calculated by standardization. The multivariate logistic regression analysis was performed to explore the independent factors associated with the presence of CRFs.
The age-standardized prevalence of hypertension, dyslipidemia, diabetes, overweight or obesity alcohol consumption, and smoking was 42.7%, 39.5%, 0.9%, 38.5%, 18.4% and 15.7%, respectively. The prevalence of clustering of at least one and at least two cardiovascular disease risk factors were 82.2% and 45.3% in total. There were differences in the aggregation of cardiovascular risk factors among different age, education, and income levels. There appeared higher clustering of at least one and at least two CRFs among adults with lower education level, higher income level and those elderly.
Compared with other regions in China, a higher prevalence of CRFs exists among adults in Guangxi and several social-economic factors were associated with the presence of CRFs. These findings suggest that we should implement effective measures to control the CRFs, to reduce the risk of cardiovascular disease in adults.
本研究旨在评估广西钦州市沿海地区成年人常见慢性疾病风险因素（CRFs）的流行情况，并探讨其与社会经济因素的相关性。
2020 年，我们在广西钦州市采用多阶段分层整群随机抽样的方法，选取了 1836 名 20 至 70 岁的成年人作为研究对象。通过问卷调查、体格检查和实验室检测收集数据。采用标准化方法计算高血压、血脂异常、糖尿病、超重或肥胖、饮酒和吸烟等 CRFs 的患病率。采用多因素 logistic 回归分析探讨与 CRFs 相关的独立因素。
高血压、血脂异常、糖尿病、超重或肥胖、饮酒和吸烟的年龄标化患病率分别为 42.7%、39.5%、0.9%、38.5%、18.4%和 15.7%。至少有一种和至少两种心血管疾病风险因素聚集的总患病率分别为 82.2%和 45.3%。不同年龄、教育程度和收入水平的人群中，心血管风险因素的聚集程度存在差异。在受教育程度较低、收入水平较高和老年人中，至少有一种和至少两种 CRFs 的聚集程度更高。
与中国其他地区相比，广西成年人中 CRFs 的患病率较高，且存在几种与 CRFs 相关的社会经济因素。这些发现提示我们应采取有效的措施来控制 CRFs，降低成年人患心血管疾病的风险。
