中华心血管病杂志
中華心血管病雜誌
중화심혈관병잡지
Chinese Journal of Cardiology
2011年
10期
955-959
,共5页
战义强%余金明%胡大一%毛勇%孙艺红%丁荣晶%张李军%傅媛媛%李社昌%张芬
戰義彊%餘金明%鬍大一%毛勇%孫藝紅%丁榮晶%張李軍%傅媛媛%李社昌%張芬
전의강%여금명%호대일%모용%손예홍%정영정%장리군%부원원%리사창%장분
婚姻状况%外周血管疾病%横断面研究
婚姻狀況%外週血管疾病%橫斷麵研究
혼인상황%외주혈관질병%횡단면연구
Marital status%Peripheral vascular diseases%Cross-sectional studies
目的 探讨社区居民婚姻状况与外周血管疾病(PAD)之间的关系.方法 2007年5月至8月,通过多阶段分层整群随机抽样方法调查北京市社区居民10 054名.运用广义线性混合模型,以社区站作为群组随机因素,分析不同婚姻状况下不同性别和年龄人群PAD的患病风险.结果 调整PAD危险因素(年龄、地区、血脂、血糖、血压、肥胖、吸烟、饮酒和体育活动)的影响之后,在45岁以下人群中,未婚男性与已婚男性比较PAD患病的OR值为1.56(0.39 ～6.35),未婚女性与已婚女性比较PAD患病的OR值为0.75(0.22 ～2.57)；在45岁及以上人群中,未婚男性与已婚男性比较PAD患病的OR值为1.61 (0.77 ～3.35),未婚女性与已婚女性比较PAD患病的OR值为1.78( 1.23 ～2.58).45岁及以上未婚女性的年龄、腰围、收缩压、空腹血糖、总胆固醇、低密度脂蛋白胆固醇和吸烟比例均高于已婚者(P均＜0.01).结论 45岁及以上女性的婚姻状况与罹患PAD有关.女性雌激素的变化和PAD危险因素的分布可能是造成这种现象的原因.
目的 探討社區居民婚姻狀況與外週血管疾病(PAD)之間的關繫.方法 2007年5月至8月,通過多階段分層整群隨機抽樣方法調查北京市社區居民10 054名.運用廣義線性混閤模型,以社區站作為群組隨機因素,分析不同婚姻狀況下不同性彆和年齡人群PAD的患病風險.結果 調整PAD危險因素(年齡、地區、血脂、血糖、血壓、肥胖、吸煙、飲酒和體育活動)的影響之後,在45歲以下人群中,未婚男性與已婚男性比較PAD患病的OR值為1.56(0.39 ～6.35),未婚女性與已婚女性比較PAD患病的OR值為0.75(0.22 ～2.57)；在45歲及以上人群中,未婚男性與已婚男性比較PAD患病的OR值為1.61 (0.77 ～3.35),未婚女性與已婚女性比較PAD患病的OR值為1.78( 1.23 ～2.58).45歲及以上未婚女性的年齡、腰圍、收縮壓、空腹血糖、總膽固醇、低密度脂蛋白膽固醇和吸煙比例均高于已婚者(P均＜0.01).結論 45歲及以上女性的婚姻狀況與罹患PAD有關.女性雌激素的變化和PAD危險因素的分佈可能是造成這種現象的原因.
목적 탐토사구거민혼인상황여외주혈관질병(PAD)지간적관계.방법 2007년5월지8월,통과다계단분층정군수궤추양방법조사북경시사구거민10 054명.운용엄의선성혼합모형,이사구참작위군조수궤인소,분석불동혼인상황하불동성별화년령인군PAD적환병풍험.결과 조정PAD위험인소(년령、지구、혈지、혈당、혈압、비반、흡연、음주화체육활동)적영향지후,재45세이하인군중,미혼남성여이혼남성비교PAD환병적OR치위1.56(0.39 ～6.35),미혼녀성여이혼녀성비교PAD환병적OR치위0.75(0.22 ～2.57)；재45세급이상인군중,미혼남성여이혼남성비교PAD환병적OR치위1.61 (0.77 ～3.35),미혼녀성여이혼녀성비교PAD환병적OR치위1.78( 1.23 ～2.58).45세급이상미혼녀성적년령、요위、수축압、공복혈당、총담고순、저밀도지단백담고순화흡연비례균고우이혼자(P균＜0.01).결론 45세급이상녀성적혼인상황여리환PAD유관.녀성자격소적변화화PAD위험인소적분포가능시조성저충현상적원인.
Objective To investigate the relationship between marital status and prevalence of peripheral arterial disease (PAD) among Beijing residents.Methods From May to August 2007,10 054 residents were interviewed to collect demographic and biochemistry information.Generalized linear mixed model was used to determine the relationship between marital status and prevalence of PAD in terms of OR and corresponding 95％ confidence intervals.Results After adjusting the traditional risk factors including age,area,lipid,serum glucose,blood pressure,central obesity,smoking,drinking and physical activities for PAD,relationship between marital status and prevalence of PAD was found both at the female and male groups of those with 45 years or older.Compared with married men,OR and 95％ confidence interval of PAD for unmarried men were 1.56 (0.39 - 6.35 ) and 1.61 (0.77 - 3.35 ) for those with 45 years younger and older respectively,while compared with married women,OR and 95％ confidence interval of PAD for unmarried women were 0.75 ( 0.22 - 2.57 ) and 1.78 ( 1.23 - 2.58 ) for those with 45 years younger and older respectively.Significant differences ( all P ＜ 0.01 ) were found between married and unmarried women of 45 years or older in terms of age,waist circumstances,systolic blood pressure,fasting glucose,total cholesterol,low-density lipoprotein and smoking.Conclusions Peripheral arterial disease was related to marital status for women of 45 years or older among Beijing residents.Estrogen level and the distribution of other PAD risk factors might contribute to the observed finding.
