我国6省市5类职业人群心脑血管疾病及影响因素研究
文章来源:《中国健康教育》编辑部 发布时间:2014-1-12 10:48:55 浏览次数:986
作者:李英华  聂雪琼  杨宠  庞静  陶茂萱   
单位:中国健康教育中心(卫生部新闻宣传中心)  
关键词:职业人群  心脑血管疾病  影响因素  
分类号:R193
出版年,卷(期):页码:2012,28(1):3-7
摘要:

目的了解我国6省市城市职业人群心脑血管疾病现状,探索影响心脑血管疾病发生因素。方法采用多阶段分层抽样方法,在北京、河北、吉林、湖北、甘肃和宁夏6省(自治区、直辖市)中,抽取18~60岁公务员、科技人员、企事业管理人员、教师、体力劳动者5类职业人员进行问卷调查,了解心脑血管疾病患病情况及相关因素。结果共调查5类职业人员15 213人,收回有效问卷11 231份,问卷有效率为73.8%。调查对象心脏病、脑血管疾病、高血压、血脂异常的患病率分别为5.0%、1.9%、10.6%和7.7%。男性心脑血管疾病患病率为23.3%,高于女性的14.6%;18~30岁、31~40岁、41~50岁、51~60岁组患病率分别为6.5%、14.5%、27.9%和40.7%;5类职业人群患病率由高到低依次为公务员24.8%、科技人员21.1%、体力劳动者19.7%、教师14.9%和企事业管理人员14.8%。Logistic回归分析结果显示,男性、高年龄组、公务员、科技人员、超重、肥胖、有抑郁倾向、工作时间<8 h、经常/总是感到工作强度大、饮食不规律、睡眠时间<7 h、睡眠质量差、吸烟是心脑血管疾病的危险因素。结论职业人群心脑血管疾病患病率较高,心脑血管疾病与超重、抑郁倾向、吸烟、饮酒、工作强度大等因素密切相关。

Objective To understand the epidemiology characteristics of cardiovaseular and cerebrovaseular diseases among 5 kinds of occupational populations in 6 provinces in China,to explore the influencing factors.Methods With multi-stage stratified sampling,persons aged 18-60 years including civil servants,scientific and technical personnel,administrative staff,teachers and physical workers were selected from Beijing,Hebie,Jilin,Hubei,Gansu and Ningxia to undergo a questionnaire survey on cardiovaseular and cerebrovaseular diseases and its influencing factors.Results Among 15 213 respondents,11 231 valid questionnaires were obtained.The valid rate was 73.8%.The prevalence rates of cardiovaseular disease,cerebrovaseular diseases,hypertension,and abnormal blood lipid were 5.0%,1.9%,10.6%,and 7.7%,respectively.The prevalence rates of people aged 18-30,31-40,41-50,and 51-60 were 6.5%,14.5%,27.9%,40.7%,respectively.The prevalence rate was 23.3% in male,higher than that in female(14.6%).In 5 occupational groups,civil servants had the highest prevalence rate,which was with 24.8%,followed by scientific and technical personnel with 21.2%,physical workers with 19.7%,teachers with 14.9% and administrative staff with 14.8%.The multiple logistic regression showed that high incidence of cardiovaseular and cerebrovaseular diseases were associated with characteristics as male,civil servants,scientific and technical personnel,overweight and obesity,depressive tendency,work time less than 8 hours,high workload,with unhealthy diet,sleep time less than 7 hours,with poor sleep and smoking.Conclusion The prevalence rate of cardiovaseular and cerebrovaseular diseases was high in occupational population,which was associated with overweight and obesity,depressive tendency,smoking,alcohol use and work stress. 

基金项目:
国家高技术研究发展计划(863计划)(2008AA02Z403)
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