中国全科医学2025，Vol.28Issue(32)：4031-4037,7.DOI:10.12114/j.issn.1007-9572.2024.0620
新疆地区居民高血压、糖尿病、血脂异常患病及共病情况研究
Comparison of Prevalence and Comorbidity of Hypertension,Diabetes and Dyslipidemia in Xinjiang Residents
摘要
Abstract
Background Hypertension,diabetes,and dyslipidemia-commonly referred to as the"three highs"—are significant risk factors for cardiovascular and cerebrovascular diseases.Co-managing these conditions is crucial for reducing the morbidity and mortality associated with cardiovascular and cerebrovascular diseases;however,there is a notable lack of relevant research on the comorbidities of the"three highs"in Xinjiang.Objective To analyze the comparison of prevalence and comorbidity of hypertension,diabetes and dyslipidemia in Xinjiang residents,thereby providing data support for the co-management of the"three highs"within the local population.Methods Data were collected from the baseline of the Chronic Disease Prevention and Control Project of the Xinjiang Production and Construction Corps.A total of 5 673 residents aged 18 years and older participated in a questionnaire survey,physical examination,and laboratory examination conducted in 2022.In this study,the survey data of 4 990 eligible residents(87.96%)were included.The prevalence of the"three highs"(hypertension,hyperglycemia,and hyperlipidemia)and the comorbidity rate were analyzed.Multivariate Logistic regression analysis was employed to identify the risk factors associated with comorbidity of the"three highs".Results A total of 4 990 cases were included in the study,comprising 2 043(40.94%)Han individuals,2 666(53.43%)Uygur individuals,and 281(5.63%)from other ethnic groups.The standardized prevalence rates for hypertension,diabetes,and dyslipidemia were 32.66%,14.03%,and 39.20%,respectively.The standardized prevalence of comorbidities was as follows:hypertension with diabetes(8.83%),hypertension with dyslipidemia(15.31%),and diabetes with dyslipidemia(8.05%).The standardized comorbidity rate of the"three highs"was 5.36%.The rates of comorbidity for two and three diseases increased with age and body mass index(BMI)while decreasing with higher levels of education(P<0.05).The dyslipidemia of the residents primarily characterized by elevated triglyceride levels(TG)(16.47%,822/4 990)and low high-density lipoprotein cholesterol(HDL-C)levels(15.29%,763/4 990),with the prevalence of high total cholesterol(TC)and low-density lipoprotein cholesterol(LDL-C)being significantly lower in men than in women(P<0.05).Results from multivariate Logistic regression analysis indicated that age,BMI grade,and educational level were influencing factors for the comorbidity of"three highs"(P<0.05).Conclusion The prevention and control of comorbidities associated with the"three highs"in Xinjiang remains challenging.Advanced age,overweight/obesity,and low educational attainment were risk factors for the comorbidity of the"three highs".The joint management of the"three highs"and the comprehensive management of risk factors are crucial for the prevention and control of chronic diseases in the region.关键词
高血压/糖尿病/血脂异常/慢性病共病/影响因素分析Key words
Hypertension/Diabetes mellitus/Dyslipidemias/Multiple chronic conditions/Root cause analysis分类
医药卫生引用本文复制引用
刘春燕,邓朝晖,宋颖博,杨芳,史茜,李永鑫,张新..新疆地区居民高血压、糖尿病、血脂异常患病及共病情况研究[J].中国全科医学,2025,28(32):4031-4037,7.基金项目
国家临床重点专科建设项目(兵财社[2023]16号) （兵财社[2023]16号）
兵团重点领域科技攻关计划项目(2020AB021) （2020AB021）
师市重点领域科技攻关计划项目(KY2021GG04) （KY2021GG04）
