中国全科医学2024，Vol.27Issue(12)：1438-1444,7.DOI:10.12114/j.issn.1007-9572.2023.0625
新疆哈萨克族血脂异常、高血压和糖尿病共病现状及影响因素研究
Status and Influencing Factors of Dyslipidemia,Hypertension and Diabetes Comorbidities among Kazakhs in Xinjiang
摘要
Abstract
Background Cardiovascular disease is the leading cause of death among Chinese residents,hypertension,hyperglycemia and hyperlipidemia are important risk factors for cardiovascular disease.Therefore,China proposes to implement the co-management of these three diseases.At present,there is a lack of relevant research on the three diseases comorbidities of the Kazakhs in Xinjiang.Objective To investigate the prevalence and status of dyslipidemia,hypertension and diabetes comorbidities among Kazakhs,and explore the related factors.Methods Kazakh residents over 18 years old from Dure Town and Tuerhong Township with large populations mainly consist of Kazakh in Fuyun County,Altay Prefecture,Xinjiang from March to June in 2022 were selected to conduct the cross-sectional study.Patient information was collected through questionnaires(general information,history of smoking,alcohol consumption,and diseases),physical examination(waist circumference,hip circumference,height,weight,blood pressure,heart rate,etc.),and laboratory tests(total cholesterol,high-density lipoprotein cholesterol,low-density lipoprotein cholesterol,triacylglycerol,and fasting blood glucose,etc.).Multivariate Logistic regression analysis was used to explore the factors related to dyslipidemia,hypertension and diabetes comorbidities among Kazakhs.Results A total of 4 835 Kazakh residents were included,48.2％(2 231/4 835)and 51.8％(2 504/4 835)were male and female respectively,with an average age of(45.8±12.7)years.The standardized prevalence of dyslipidemia,hypertension and diabetes mellitus were 37.9％,21.1％and 4.0％,respectively.The standardized prevalence of hypercholesterolemia,high low-density lipoprotein cholesterol,low high-density lipoprotein cholesterol and hypertriacylglycerolemia in the dyslipidemic population was 24.1％,24.8％,10.0％and 7.3％,respectively.The standardized prevalence of comorbidities was 11.8％.Univariate Logistic regression analysis showed that gender,age,BMI,waist circumference,hip circumference,heart rate,marital status,and education level were correlated with the comorbidities(P<0.05).Multivariate Logistic regression analysis showed that gender,age,marital status,BMI and heart rate were correlated with three diseases comorbidities(P<0.05).Conclusion The prevalence of dyslipidemia is higher than that of hypertension and diabetes,and dyslipidemia is dominated by hypercholesterolemia.The comorbidities of dyslipidemia and hypertension are the most common among the three diseases comorbidities,and the elderly,males and people with high BMI should be prioritized for the three diseases co-management.关键词
血脂异常/高血压/糖尿病/慢性病共病/哈萨克族/影响因素分析Key words
Dyslipidemia/Hypertension/Diabetes mellitus/Multiple chronic conditions/Kazakh/Root cause analysis分类
医药卫生引用本文复制引用
金梦龙,盖敏涛,李艳鹏,鲁向锋,付真彦,秦晓英,马力亚·阿米提,加孜呢·努尔拜,李建新,曹杰,罗思富,刘成,张雨晨..新疆哈萨克族血脂异常、高血压和糖尿病共病现状及影响因素研究[J].中国全科医学,2024,27(12):1438-1444,7.基金项目
国家重点研发计划(2021YFC2500600,2021YFC2500605) （2021YFC2500600,2021YFC2500605）
自治区重点研发计划项目(2022B03022-4) （2022B03022-4）
省部共建中亚高发病成因与防治国家重点实验室开放课题资助项目(SKL-HIDCA-2022-XXG3) （SKL-HIDCA-2022-XXG3）
国家创新研究群体培育项目(XYD2021C002) （XYD2021C002）
国家自然科学基金资助项目(81970380) （81970380）
