刘庆平, 邱桦, 吴抗, 刘晓琳, 柯居中, 王小楠, 杨屹, 李智韬, 阮晓楠. 浦东新区居民血脂异常患病和知晓情况分析[J]. 上海预防医学, 2019, 31(S1): 25-32. DOI: 10.19428/j.cnki.sjpm.2019.19625
引用本文: 刘庆平, 邱桦, 吴抗, 刘晓琳, 柯居中, 王小楠, 杨屹, 李智韬, 阮晓楠. 浦东新区居民血脂异常患病和知晓情况分析[J]. 上海预防医学, 2019, 31(S1): 25-32. DOI: 10.19428/j.cnki.sjpm.2019.19625
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LIU Qing-ping, QIU Hua, WU Kang, LIU Xiao-lin, KE Ju-zhong, WANG Xiao-nan, YANG Yi, LI Zhi-tao, RUAN Xiao-nan. Prevalence and awareness of dyslipidemia in Pudong New Area residents[J]. Shanghai Journal of Preventive Medicine, 2019, 31(S1): 25-32. DOI: 10.19428/j.cnki.sjpm.2019.19625
Citation: LIU Qing-ping, QIU Hua, WU Kang, LIU Xiao-lin, KE Ju-zhong, WANG Xiao-nan, YANG Yi, LI Zhi-tao, RUAN Xiao-nan. Prevalence and awareness of dyslipidemia in Pudong New Area residents[J]. Shanghai Journal of Preventive Medicine, 2019, 31(S1): 25-32. DOI: 10.19428/j.cnki.sjpm.2019.19625
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浦东新区居民血脂异常患病和知晓情况分析

Prevalence and awareness of dyslipidemia in Pudong New Area residents

    摘要
  • 摘要:
    目的了解上海市浦东新区居民血脂异常患病和知晓情况。
    方法利用多阶段分层整群抽样的方法，在2016年抽取上海市浦东新区15岁及以上人群7 194人，对抽取的人群进行流行病学调查及相关指标的实验室检查。
    结果血脂异常粗患病率为59.55%，标化率为51.77%，男性高于女性（P < 0.001），城市高于农村（P < 0.001），一直吸烟者和戒烟者高于从不吸烟者（P < 0.001），超重和肥胖人群高于BMI正常和偏瘦人群（P < 0.001）。男性TC、LDLC平均水平自25岁起明显升高。HDLC水平降低的比例（38.44%）最高，TC边缘升高的比例（34.86%）最大。血脂异常知晓率为22.54%，女性（24.97%）高于男性（19.15%），城市（26.25%）高于农村（17.49%），高中文化程度（26.53%）高于文盲（19.56%）和小学（17.04%），运动达标者（23.92%）高于不达标者（19.31%），从不吸烟人群（23.92%）高于一直吸烟人群（17.22%）。多因素分析表明，年龄、城市、超重和肥胖、慢性病家族史等因素与血脂异常患病率和知晓率较高有关。
    结论浦东新区居民血脂异常形势严峻，且以低HDLC为主，血脂水平边缘升高的比例较大；其中男性患病率高且呈年轻化趋势，知晓率较低，应积极进行干预控制。

     

    Abstract:
    ObjectiveTo ascertain the prevalence and awareness of dyslipidemia among residents in Pudong New Area, Shanghai.
    MethodsIn 2016, 7 194 persons aged 15 years and over in Pudong New Area of Shanghai were selected by multi-stage stratified cluster sampling for epidemiological survey and laboratory examination of related indicators.
    ResultsThe crude prevalence rate of dyslipidemia was 59.55% and the standardized rate was 51.77%, higher in men than in women(P < 0.001), higher in urban areas than in rural areas(P < 0.001), higher in smokers and ex-smokers than in never-smokers(P < 0.001), and higher in overweight and obese people than in normal and lean people (P < 0.001). The average level of TC and LDLC in men increased significantly from the age of 25. The proportion of HDLC decreased (38.44%)was the highest, while the proportion of TC marginal increase(34.86%)was the largest. The awareness rate of dyslipidemia was 22.54%, higher in women(24.97%)than in men(19.15%), higher in urban areas(26.25%) than in rural areas(17.49%), higher in persons with high school education(26.53%)than those with illiteracy(19.56%)and primary school education(17.04%), higher in persons who exercised to the standard(23.92%)than those who did not(19.31%), and higher in never-smokers(23.92%)than in smokers(17.22%). Multivariate analysis showed that age, city, overweight and obesity, family history of chronic diseases were correlated with higher prevalence and awareness rate of dyslipidemia.
    ConclusionThe dyslipidemia of residents in Pudong New Area proves to be serious, and mainly is low HDLC, with a large proportion of marginal increase of lipid level. Among them, the prevalence rate of males is higher and patients show a tendancy to be young; the awareness rate is low, which should be actively intervened and improved.

     

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