摘要
目的 了解绵阳市成年人群血脂水平现状,分析血脂异常人群分布特征,为制定血脂异常防控干预策略提供参考依据。方法 于2019年4月7日采用多阶段随机抽样方法,在绵阳市10个县(市、区)各随机抽取1个街道和1个乡镇,抽中的街道(乡镇)按照年龄段分组共抽取4 200名18岁及以上常住居民为调查对象,进行问卷调查、体格检查和实验室检测。选用SPSS 26.0软件进行χ^(2)检验、χ^(2)趋势检验,检验水准为α=0.05。结果 调查对象血脂异常检出率为34.9%,高TC血症检出率为9.9%,高TG血症检出率为25.9%,高LDL-C血症检出率为1.9%,低HDL-C血症检出率为2.4%。不同年龄、文化程度、婚姻状况、居住地区、个人经济水平及健康状况的调查对象血脂异常检出率差异均有统计学意义(P均<0.05)。吸烟者血脂异常检出率(38.4%)高于不吸烟者(33.9%),饮酒者高TG血症检出率(30.1%)高于不饮酒者(24.7%)。结论 年龄大、文化程度低、吸烟饮酒、超重肥胖、糖尿病患者、高血压患者和农村居民的血脂异常检出率高,是血脂防控干预的重点人群。
Objective To examine the epidemiological characteristics of dyslipidemia of adults in Mianyang City, so as to provide a reference for formulating intervention strategies for the prevention and control of dyslipidemia. Method From April to July in 2019, a multi-stage random sampling method was used to select 1 street and 1 township in each of 10 counties(cities or districts).Then,the residents in selected street(township) was divided into groups according to age. A total of 4 200 residents aged 18 and above were selected to conduct questionnaire surveys, physical examinations and laboratory tests. Chi-square tests and chi-square trend tests were performed by using SPSS 26.0. The test level was α =0.05. Results The detection rate of dyslipidemia in this survey was 34.9%, the positive rate of high TC, high TG, high LDL-C and low HDL-C was9.9%, 25.9%, 1.9% and 2.4%, respectively. There were statistically significant differences in the positive rate of dyslipidemia among subjects of different ages, education levels, marital status,residential area,personal economic level and health status(P<0.05 for all). The positive rate of dyslipidemia in smokers(38.4%) was higher than that of non-smokers(33.9%), and the positive rate of high TG in alcoholics(30.1%) was higher than that of non-drinkers(24.7%). Conclusions Advanced age, low education level, smoking, drinking, overweight or obesity, diabetes,hypertension and rural residents are related to a high positive rate of dyslipidemia. People with these risk factors are the key populations for prevention and control interventions of dyslipidemia.
作者
郭洪菊
林子義
GUO Hong-ju;LIN Zi-yi(Mianyang Center for Disease Control and Prevention,Mianyang 621000,Sichuan Province,China;School of Public Health,Sun Yat-sen University,Guangzhou 510080,Guangdong Province,China)
出处
《预防医学情报杂志》
CAS
2022年第11期1480-1485,1490,共7页
Journal of Preventive Medicine Information
关键词
血脂异常
流行特征
检出率
dyslipidemia
epidemiological characteristics
positive rate
