| 引用本文: | 毛玮,罗水英,邓惠天,唐美艳,蒋小云,黄金梅,许晶晶,滕有明,钟延旭.广西不同人群血脂异常流行现状及影响因素分析[J].中国临床新医学,0,():-. |
| .广西不同人群血脂异常流行现状及影响因素分析[J].中国临床新医学,0,():-. |
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| 广西不同人群血脂异常流行现状及影响因素分析 |
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毛玮1, 罗水英1, 邓惠天2, 唐美艳3, 蒋小云1, 黄金梅1, 许晶晶1, 滕有明1, 钟延旭1
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1.广西壮族自治区疾病预防控制中心;2.广西医科大学;3.右江民族医学院
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| 摘要: |
| 目的 了解2023年广西成年居民血脂异常的流行特征及影响因素,为制定防控策略提供科学依据。方法 2022年11月至2023年12月,采用多阶段分层整群随机抽样方法,选取广西18岁及以上常住居民6231名,开展问卷调查、体格检查和实验室检测。数据分析使用R 4.4.2软件,进行χ2检验及多因素Logistic回归。结果 广西成年居民血脂异常标化患病率为46.0%,其中高总胆固醇血症、高甘油三酯血症、低高密度脂蛋白胆固醇血症和高低密度脂蛋白胆固醇血症的标化患病率分别为21.3%、16.2%、22.4%和14.8%。多因素Logistic回归分析显示,女性血脂异常风险低于男性(OR＝0.67,P＝0.002)。45～59岁(OR＝1.63)、≥60岁(OR＝1.36)、农村居民(OR＝1.26)、每日吸烟者(OR＝1.54)、超重(OR＝2.60)、肥胖(OR＝3.81)、高血压患者(OR＝1.34)及糖尿病患者(OR＝1.43)均与血脂异常风险升高相关(均P＜0.05)。结论 2023年广西成人血脂异常患病率较高,应重点针对男性、45岁以上、农村、吸烟、超重/肥胖及慢性病人群,采取生活方式干预以控制危险因素、降低患病风险。 |
| 关键词: 血脂异常 流行病学 影响因素 |
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| 基金项目:广西医疗卫生适宜技术开发与推广应用项目(S2021066)；广西疾控中心青年博士提升科研能力课题(广西不同地区社区常见慢性病的流行特征及变化趋势研究,20253988) |
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| Analysis on the prevalence and influencing factors of dyslipidemia in different populations in Guangxi |
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Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention
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| Abstract: |
| Objective ?To investigate the prevalence and influencing factors of dyslipidemia among adults in Guangxi in 2023, providing scientific evidence for prevention and control strategies. Methods ?From November 2022 to December 2023, a multi-stage stratified cluster random sampling method was used to select 6,231 residents aged 18 years and older in Guangxi. Participants completed questionnaires, physical examinations, and laboratory tests. Data were analyzed using R 4.4.2 software, including χ2 tests and multivariable logistic regression. Results ?The age-standardized prevalence of dyslipidemia among adults in Guangxi was 46.0%, with age-standardized prevalence rates of hypercholesterolemia, hypertriglyceridemia, low high-density lipoprotein cholesterol, and high low-density lipoprotein cholesterol of 21.3%, 16.2%, 22.4%, and 14.8%, respectively. Multivariable logistic regression analysis indicated that females had a lower risk of dyslipidemia than males (OR = 0.67, P = 0.002). Age 45–59 years (OR = 1.63), ≥60 years (OR = 1.36), rural residence (OR = 1.26), daily smoking (OR = 1.54), overweight (OR = 2.60), obesity (OR = 3.81), hypertension (OR = 1.34), and diabetes (OR = 1.43) were all significantly associated with an increased risk of dyslipidemia (all P < 0.05). Conclusion ?In 2023, the prevalence of dyslipidemia among adults in Guangxi was relatively high. Targeted lifestyle interventions should focus on males, individuals aged 45 years and older, rural residents, smokers, overweight/obese individuals, and those with chronic diseases to control risk factors and reduce the burden of dyslipidemia. |
| Key words: Dyslipidemia, Epidemiology, Influencing factors |
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