Prevalence of cardiovascular disease and risk factors in a rural district of Beijing, China: a population-based survey of 58,308 residents.
Prevalence of cardiovascular disease and risk factors in a rural district of Beijing, China: a population-based survey of 58,308 residents.
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中国北京农村地区心血管疾病患病率及危险因素：对 58,308 名居民的人口调查
DOI：
10.1186/1471-2458-12-34
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发表时间：
2012-01-16
影响因子：
4.5
通讯作者：
Hu Y
中科院分区：
文献类型：
--
作者：
He L;Tang X;Song Y;Li N;Li J;Zhang Z;Liu J;Yu L;Xu H;Zhang J;Hu Y
背景：心血管疾病（CVD）是全球疾病负担的主要原因。虽然中风在中国被认为比冠心病（冠心病）更普遍，但现在一些农村地区的流行模式可能已经改变。本研究旨在评估中国北京房山区农村社区心血管疾病的最新患病率及其危险因素。方法采用分层整群抽样的方法进行横断面人口调查。2008年和2010年对58308名40岁以上的农村居民进行了面对面访谈和身体检查。根据2000年中国第5次人口普查成人样本数据计算标准化患病率，并通过多因素logistic回归模型计算冠心病/脑卒中与其心血管危险因素的校正患病率优势比（POR）。结果冠心病的年龄和性别标准化患病率为5.6%（男性为5.2%，女性为5.9%），高于卒中的3.7%（男性为4.7%，女性为2.6%）。与既往研究相比，男性糖尿病、高血压和超重/肥胖患病率分别为7.7%、47.2%、53.3%和8.2%、44.8%、60.7%。此外，在多因素logistic回归模型中，糖尿病、肥胖、1期和2期高血压冠心病的调整后POR（95%置信区间）分别为2.51（2.29 ~ 2.75）、1.53（1.38 ~ 1.70）、1.13（1.02 ~ 1.26）和1.35(1.20 ~ 1.52)，卒中的调整后POR分别为2.24（1.98 ~ 2.52）、1.25（1.09 ~ 1.44）、1.44（1.25 ~ 1.66）和1.70（1.46 ~ 1.98）。结论北京市农村社区心血管疾病的高患病率和可能改变的流行模式，加上心血管危险因素的普遍存在和人口老龄化，可能对中国农村人口构成公共卫生挑战。
BackgroundCardiovascular disease (CVD) is the leading cause of global disease burden. Although stroke was thought to be more prevalent than coronary heart disease (CHD) in Chinese, the epidemic pattern might have been changed in some rural areas nowadays. This study was to estimate up-to-date prevalence of CVD and its risk factors in rural communities of Fangshan District, Beijing, China.MethodsA cross-sectional population survey was carried out by stratified cluster sampling. A total of 58,308 rural residents aged over 40 years were surveyed by face-to-face interview and physical examination during 2008 and 2010. The standardized prevalence was calculated according to adult sample data of China's5thPopulation Census in 2000, and the adjusted prevalence odds ratio (POR) was calculated for the association of CHD/stroke with its cardiovascular risk factors in multivariate logistic regression models.ResultsAge- and sex-standardized prevalence was 5.6% for CHD (5.2% in males and 5.9% in females), higher than the counterpart of 3.7% (4.7% in males and 2.6% in females) for stroke. Compared with previous studies, higher prevalence of 7.7%, 47.2%, 53.3% in males and 8.2%, 44.8%, 60.7% in females for diabetes, hypertension and overweight/obesity were presented accordingly. Moreover, adjusted POR (95% confidence interval) of diabetes, obesity, stage 1 and stage 2 hypertension for CHD as 2.51 (2.29 to 2.75), 1.53 (1.38 to 1.70), 1.13 (1.02 to 1.26) and 1.35 (1.20 to 1.52), and for stroke as 2.24 (1.98 to 2.52), 1.25 (1.09 to 1.44), 1.44 (1.25 to 1.66) and 1.70 (1.46 to 1.98) were shown respectively in the multivariate logistic regression models.ConclusionsHigh prevalence of CVD and probably changed epidemic pattern in rural communities of Beijing, together with the prevalent cardiovascular risk factors and population aging, might cause public health challenges in rural Chinese population.
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影响因子：
24
作者：
Kitamura, Akihiko;Sato, Shinichi;Komachi, Yoshio
通讯作者：
Komachi, Yoshio
影响因子：
6.9
作者：
Reynolds, Kristi;Gu, Dongfeng;Grp, InterASIA Collaborative
通讯作者：
Grp, InterASIA Collaborative
影响因子：
9.9
作者：
LI, SC;SCHOENBERG, BS;WANG, KJ
通讯作者：
WANG, KJ
影响因子：
158.5
作者：
Yang, Wenying;Lu, Juming;He, Jiang
通讯作者：
He, Jiang
影响因子：
120.7
作者：
Liu, J;Hong, YL;Zhao, D
通讯作者：
Zhao, D