2018年中国15个省份20至59岁成年人的心血管健康状况及相关因素
[Cardiovascular health status and related factors among adults aged 20-59 in 15 provinces of China in 2018].
作者信息
Jiao Yingying, Li Weiyi, Jiang Hongru, Jia Xiaofang, Wang Zhihong, Wang Huijun, Zhang Bing, Ding Gangqiang
机构信息
National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China Key Laboratory of Trace Elements and Nutrition, National Health Commission, Beijing 100050, China.
出版信息
Wei Sheng Yan Jiu. 2023 May;52(3):347-381. doi: 10.19813/j.cnki.weishengyanjiu.2023.03.001.
OBJECTIVE
To evaluate the cardiovascular health status of Chinese adults and explore the related influencing factors.
METHODS
Adults aged 20-59 from the China Health and Nutrition Survey covering 15 provinces and cities in 2018 were selected as the study subjects. The average score of 8 health factors was calculated using the definition of the "Life's Essential 8" for cardiovascular health released by the American Heart Association in 2022. Cardiovascular health was classified according to the score. Multinomial logit model was used to analyze the impact of demographic characteristics on cardiovascular health.
RESULTS
A total of 5977 subjects were included in this study. The total score of cardiovascular health was 73.62. The single factor analysis showed that sleep and physical activity scored higher(91.69 and 87.39, respectively), while blood pressure and diet scored lower(58.88 and 44.16, respectively). Clustering analysis found that only 0.45% of the people with full score of all eight indicators, The average number of full score indicators was 4.22, and the full score indicators were more among 20-44, female, college or above, and urban residents. In addition, the number of people with high, moderate and poor cardiovascular health status were 35.70%, 59.58% and 4.72%, respectively. Multinomial logit analysis showed that compared with low cardiovascular health status, the people with high in 45-59 were 66%(95% CI 0.25-0.45) lower than those in 20-44. Women with moderate and high were 9.93(95%CI 6.44-15.33) and 41.82(95% CI 26.87-65.08) times higher than men, respectively. The moderate cardiovascular health of the people with middle income was 1.47(95% CI 1.07-2.01) times higher than those with low income. People in the south with moderate and high were 31%(95% CI 0.53-0.91) and 38%(95% CI 0.46-0.82) lower than those in the north, respectively.
CONCLUSION
Adults in our country were in the moderate cardiovascular health. People aged 20-44, female, people with higher income and living in the north had better cardiovascular health.
目的
评估中国成年人的心血管健康状况并探索相关影响因素。
方法
选取2018年覆盖15个省市的中国健康与营养调查中20 - 59岁的成年人作为研究对象。根据美国心脏协会2022年发布的心血管健康“生命八大要素”定义计算8项健康因素的平均得分。根据得分对心血管健康进行分类。采用多项logit模型分析人口学特征对心血管健康的影响。
结果
本研究共纳入5977名受试者。心血管健康总分为73.62分。单因素分析显示，睡眠和身体活动得分较高（分别为91.69分和87.39分），而血压和饮食得分较低（分别为58.88分和44.16分）。聚类分析发现，八项指标均满分的人群仅占0.45%，满分指标的平均数量为4.22个，20 - 44岁、女性、大专及以上学历和城市居民中满分指标更多。此外，心血管健康状况为高、中、差的人数分别为35.70%、59.58%和4.72%。多项logit分析显示，与心血管健康状况低的人群相比，45 - 59岁心血管健康状况高的人群比20 - 44岁的人群低66%（95%CI 0.25 - 0.45）。心血管健康状况为中、高的女性分别是男性的9.93倍（95%CI 6.44 - 15.33）和41.82倍（95%CI 26.87 - 65.08）。中等收入人群心血管健康状况为中的是低收入人群的1.47倍（95%CI 1.07 - 2.01）。南方心血管健康状况为中、高的人群分别比北方低31%（95%CI 0.53 - 0.91）和38%（95%CI 0.46 - 0.82）。
结论
我国成年人心血管健康状况为中等。20 - 44岁、女性、收入较高和居住在北方的人群心血管健康状况较好。
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