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预防医学  2026, Vol. 38 Issue (5): 523-527    DOI: 10.19485/j.cnki.issn2096-5087.2026.05.020
  疾病控制 本期目录 | 过刊浏览 | 高级检索 |
怀柔区35~75岁居民心血管疾病高危人群调查
张红梅1, 付照然2, 朱婷婷1
1.北京市怀柔区疾病预防控制中心(北京市怀柔区卫生健康监督所),北京 101400;
2.北京市怀柔区庙城镇社区卫生服务中心,北京 101401
High-risk population for cardiovascular disease among residents aged 35 to 75 years in Huairou District
ZHANG Hongmei1, FU Zhaoran2, ZHU Tingting1
1. Huairou District Center for Disease Control and Prevention (Huairou District Institute of Public Health Supervision), Beijing 101400, China;
2. Miaocheng Town Community Health Service Center, Huairou District, Beijing 101401, China
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摘要 目的 了解北京市怀柔区35~75岁居民心血管疾病(CVD)高危人群检出情况及其影响因素,为开展CVD防控提供参考。方法 依托2016—2023年心血管病高危人群早期筛查与综合干预项目,采用多阶段随机整群抽样方法抽取怀柔区35~75岁常住居民为调查对象,通过问卷调查、体格检查和实验室检测收集人口学信息、生活方式、体质指数(BMI)和健康状况等资料。分析CVD高危人群检出率,采用多因素logistic回归模型分析居民CVD高危人群检出的影响因素。结果 共筛查35~75岁居民16 912人,其中男性6 111人,占36.13%;女性10 801人,占63.87%。年龄以50~<60岁为主,6 430人占38.02%。检出CVD高危人群4 208人,检出率为24.88%。多因素logistic回归分析结果显示,性别(男,OR=1.366,95%CI:1.243~1.501)、年龄(60~<70岁,OR=1.707,95%CI:1.196~2.435;70~75岁,OR=2.436,95%CI:1.688~3.516)、文化程度(初中及以下,OR=1.155,95%CI:1.040~1.282)、户籍(农业,OR=1.328,95%CI:1.195~1.477)、饮酒(OR=1.135,95%CI:1.014~1.271)、BMI(肥胖,OR=1.215,95%CI:1.072~1.377)、中心性肥胖(OR=1.157,95%CI:1.053~1.272)、高血压(OR=6.325,95%CI:5.689~7.032)、糖尿病(OR=1.205,95%CI:1.099~1.322)和血脂异常(OR=4.720,95%CI:4.246~5.247)是居民CVD高危人群检出的影响因素。结论 怀柔区35~75岁居民CVD高危人群检出率较高,男性、60~75岁、文化程度较低、农业户籍、饮酒、肥胖、中心性肥胖、高血压、糖尿病和血脂异常的居民CVD高危人群检出风险较高。
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关键词 心血管疾病高危人群影响因素    
AbstractObjective To investigate the detection status and influencing factors of the high-risk population for cardiovascular disease (CVD) among residents aged 35 to 75 years in Huairou District, Beijing Municipality, so as to provide references for CVD prevention and control. Methods Based on the Cardiovascular Disease High-Risk Population Early Screening and Comprehensive Intervention Project conducted from 2016 to 2023, residents aged 35 to 75 years in Huairou District were selected using multistage random cluster sampling. Demographic information, lifestyle factors, body mass index (BMI), and health status were collected through questionnaire surveys, physical examinations, and laboratory tests. The detection rate of high-risk population for CVD was analyzed. Factors affecting high-risk population for CVD among residents were analyzed using a multivariable logistic regression model. Results A total of 16 912 residents aged 35 to 75 years were screened, including 6 111 males (36.13%) and 10 801 females (63.87%). The majority of residents were aged 50-<60 years, with 6 430 individuals (38.02%). A total of 4 208 residents were identified as CVD high-risk population, with a detection rate of 24.88%. Multivariable logistic regression analysis indicated that gender (male, OR=1.366, 95%CI: 1.243-1.501), age (60-<70 years, OR=1.707, 95%CI: 1.196-2.435; 70-75 years, OR=2.436, 95%CI: 1.688-3.516), education level (junior high school and below, OR=1.155, 95%CI: 1.040-1.282), household registration (agricultural, OR=1.328, 95%CI: 1.195-1.477), alcohol consumption (OR=1.135, 95%CI: 1.014-1.271), BMI (obese, OR=1.215, 95%CI: 1.072-1.377), central obesity (OR=1.157, 95%CI: 1.053-1.272), hypertension (OR=6.325, 95%CI: 5.689-7.032), diabetes (OR=1.205, 95%CI: 1.099-1.322), and dyslipidemia (OR=4.720, 95%CI: 4.246-5.247) were significantly associated with detection as high-risk for CVD. Conclusions The detection rate of CVD high-risk population was relatively high among residents aged 35 to 75 years in Huairou District. Male residents aged 60 to 75 years, those with lower education levels, those with agricultural household registration, those who consumed alcohol, those who were obese or had central obesity, and those with hypertension, diabetes, or dyslipidemia had a higher risk of being identified as CVD high-risk population.
Key wordscardiovascular disease    high-risk population    influencing factor
收稿日期: 2025-11-28      修回日期: 2026-02-24     
中图分类号:  R54  
基金资助:国家卫生健康委员会重大公共卫生服务项目(10000019Z195110010004)
作者简介: 张红梅,本科,副主任医师,主要从事慢性病防控工作
通信作者: 朱婷婷,E-mail:zht1985163@sina.com   
引用本文:   
张红梅, 付照然, 朱婷婷. 怀柔区35~75岁居民心血管疾病高危人群调查[J]. 预防医学, 2026, 38(5): 523-527.
ZHANG Hongmei, FU Zhaoran, ZHU Tingting. High-risk population for cardiovascular disease among residents aged 35 to 75 years in Huairou District. Preventive Medicine, 2026, 38(5): 523-527.
链接本文:  
https://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2026.05.020      或      https://www.zjyfyxzz.com/CN/Y2026/V38/I5/523
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