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Risk Factors for Cardiovascular Disease and Their Clustering among Adults in Jilin (China)

机译:吉林成人心血管疾病危险因素及成人聚类(中国)

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Background : Clustering of cardiovascular disease (CVD) risk factors constitutes a major public health challenge. Although a number of researchers have investigated the CVD risk factor clusters in China, little is known about the related prevalence and clustering associated with demographics in Jilin Province in China; this study aims to reveal that relationship. Methods : A cross-sectional survey based on a sample of 16,834 adults aged 18 to 79 years was conducted in Jilin in 2012. The prevalence and clustering of CVD risk factors were analysed through complex weighted computation. Quantitative variables were compared by the t test, and categorical variables were compared by the Rao-Scott-χ 2 test. Finally, multivariable logistic regression analysis was used to evaluate the CVD risk factor clusters associated with demographics. Results : The prevalences of hypertension, diabetes, dyslipidemia, overweight and smoking were 37.3%, 8.2%, 36.8%, 47.3%, and 31.0%, respectively, and these risk factors were associated with gender, education level, age, occupation and family income ( p < 0.05). Overall, compared with females, the adjusted ORs of ≥1, ≥2 and ≥3 risk factors clusters in males were 3.70 (95%CI 3.26 to 4.20), 4.66 (95%CI 4.09 to 5.31), and 5.76 (95%CI 5.01 to 6.63), respectively. In particular, the adjusted ORs of ≥1, ≥2 and ≥3 risk factors increased with age. Conclusions : CVD risk factor clusters are common among adults in northeast China, and they constitute a major public health challenge. More effective attention and interventions should be directed toward the elderly and toward persons with lower incomes and low levels of education.
机译:背景:心血管疾病(CVD)风险因素的聚类构成了主要的公共卫生挑战。虽然许多研究人员在中国调查了CVD危险因素集群,但对中国吉林省人口统计学相关的相关患病率和聚类几乎是众所周知的;本研究旨在揭示这种关系。方法:在2012年吉林进行了基于16,834名成人样品的横截面调查。通过复合加权计算分析了CVD危险因素的患病率和聚类。通过T检验比较定量变量,通过Rao-Scott-χ2检验比较分类变量。最后,使用多变量逻辑回归分析来评估与人口统计学相关的CVD危险因素集群。结果:高血压,糖尿病,血脂血症,超重和吸烟的患病率分别为37.3%,8.2%,36.8%,47.3%和31.0%,这些风险因素与性别,教育水平,年龄,职业和家庭有关收入(P <0.05)。总体而言,与雌性相比,≥1,≥2和≥3的调节或≥3的风险因素簇为3.70(95%CI 3.26至4.20),4.66(95%CI 4.09至5.31)和5.76(95%CI 5.01至6.63)分别。特别是,随着年龄的增长,调整后的或≥1,≥2和≥3的风险因素增加。结论:CVD危险因素集群在东北地区的成年人中常见,它们构成了一个主要的公共卫生挑战。更有效的关注和干预应该针对老年人,并朝着收入较低和低等教育水平的人。

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