Prevalence and Associated Factors of Self-Reported Coronary Heart Disease: A Population-Based Cross-Sectional Survey in Tianjin.

IF 2.7 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES Risk Management and Healthcare Policy Pub Date : 2024-12-12 eCollection Date: 2024-01-01 DOI:10.2147/RMHP.S497216

He Jiao, Yingyi Zhang, Zhigang Guo

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Abstract

Objective: To describe the prevalence of self-reported coronary heart disease (CHD) and assess the influence of varied risk factors on it in Tianjin.

Methods: This study included a total of 102,576 individuals aged 35 to 75 from 13 community health centers and grassroots hospitals in Tianjin. Basic information, questionnaire responses, physical examinations, and laboratory tests of each participant were researched, and documented. Participants were categorized into CHD group and non-CHD group. Multivariate logistic regression was utilized to evaluated the relationships between associated factors and CHD.

Results: The prevalence of self-reported CHD was 2.56%, 3.97% among men and 1.69% among women. In multivariate logistic regression analysis, older age (41-65 years: OR: 7.37, 95% CI: 4.56-11.94; >65 years: OR:17.88, 95% CI: 11.02-29.01), female sex (OR: 0.40, 95% CI: 0.36-0.44), education (sedentary level: OR: 0.88, 95% CI: 0.79-0.97; high level: OR: 0.74, 95% CI: 0.63-0.87), family annual income (10,000-50,000 yuan: OR: 0.68, 95% CI: 0.60-0.77; >50,000 yuan: OR: 0.71, 95% CI: 0.62-0.82), recently drinking habits (2-4 times /month: OR: 0.75, 95% CI: 0.63-0.90; 2-3 times/week: OR: 0.69, 95% CI: 0.56-0.86; >4 times/week: OR: 0.72, 95% CI: 0.63-0.83), obesity (OR: 1.17, 95% CI: 1.07-1.28), central obesity (OR: 1.51, 95% CI: 1.33-1.71), hypertension (OR: 1.60, 95% CI: 1.43-1.80), dyslipidemia (OR: 0.90, 95% CI: 0.83-0.98), diabetes mellitus (OR: 2.02, 95% CI: 1.85-2.19), stroke (OR: 1.42, 95% CI: 1.24-1.63), family history (CVD: OR: 4.48, 95% CI: 4.00-5.01; stroke: OR: 1.83, 95% CI: 1.58-2.12) were associated with CHD (P < 0.05).

Conclusion: These findings highlight growing concerns regarding the escalating rates of CHD. Implementing multifaceted, population-based interventions is crucial to mitigate the burden of cardiovascular conditions.

Clinical trial registry number: The study received approval from the Ethics Committee of Tianjin Chest Hospital (approval number: 2018KY-003-01). Written informed consent was obtained from all survey participants.

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自述冠心病的患病率及相关因素：天津市人群横断面调查。

目的描述天津市冠心病（CHD）自我报告的患病率，并评估各种危险因素对冠心病的影响：研究对象包括天津市 13 家社区卫生服务中心和基层医院的 102,576 名 35 至 75 岁的居民。对每位受试者的基本信息、问卷回答、体格检查和实验室检查进行了研究和记录。参与者被分为慢性阻塞性肺病组和非慢性阻塞性肺病组。采用多元逻辑回归评估相关因素与心脏病之间的关系：自我报告的冠心病发病率为 2.56%，其中男性为 3.97%，女性为 1.69%。在多变量逻辑回归分析中，年龄较大（41-65 岁：OR：7.37，95% CI：4.56-11.94；>65 岁：OR：17.88，95% CI：11.02-29.01）、女性性别（OR：0.40，95% CI：0.36-0.44）、教育程度（久坐水平：OR：0.88，95% CI：0.79-0.97；高水平：OR：0.74，95% CI：0.63-0.87）、家庭年收入（10,000-50,000 元：OR：0.68，95% CI：0.60-0.77；>5 万元：OR：0.71，95% CI：0.62-0.82）、近期饮酒习惯（2-4 次/月：OR：0.75，95% CI：0.63-0.90；2-3 次/周：OR：0.69，95% CI：0.56-0.86；>4 次/周：OR：0.72，95% CI：0.63-0.83）、肥胖（OR：1.17，95% CI：1.07-1.28）、中心性肥胖（OR：1.51，95% CI：1.33-1.71）、高血压（OR：1.60，95% CI：1.43-1.80）、血脂异常（OR：0.90，95% CI：0.83-0.98）、糖尿病（OR：2.02，95% CI：1.85-2.19）、中风（OR：1.42，95% CI：1.24-1.63）、家族史（心血管疾病：OR：4.48，95% CI：4.00-5.01；中风：OR：1.83，95% CI：1.58-2.12）与冠心病相关（P < 0.05）：这些发现凸显了人们对冠心病发病率不断攀升的日益关注。临床试验登记号：本研究获得了天津市胸科医院伦理委员会的批准（批准号：2018KY-003-01）。所有调查参与者均已获得书面知情同意。

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来源期刊

Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health

CiteScore

6.20

自引率

2.90%

发文量

242

审稿时长

16 weeks

期刊介绍： Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.