Clustering Of Cardiovascular Disease Risk Factors And Influencing Factors Among Adults In Jilin Province

Objective To estimate the prevalence and clustering of cardiovascular disease(CVD) risk factors (hypertension, diabetes, dyslipidemia and overweight) amongadults in Jilin province and and to investigate the influencing factors on the clusteringof these risk factors. In order to provide the basis for making effective interventionmeasures.Methods With multi-stage stratified cluster sampling, a representative sample ofpeople aged18to79years who had lived or stayed in Jilin province for at least sixmonths were selected from nine states(a total of32areas) of Jilin province.Data wascollected by direct interviews using standardized questionnaire and physicalexaminations.The questionnaire included sections on participant’s demographics;cigarette smoking history; self-reported history of hypertension, diabetes, andhyperlipidemia. The physical and laboratory examinations included body weight,body height, blood pressure, and blood samples for glucose and serum lipidsmeasurements. According to the standard population in the sixth national generalinvestigation in Jilin province, to weighted the data for complex sampling. Theprevalence and clustering of cardiovascular disease risk factors were analyzed throughcomplex weighed computation. The differences were compared by chi-square test forcategorical variables between different groups.The influence factors of the clusteringwere analyzed though logistic regression.All statistical analyses were undertakenusing SPSS ver18.0.Results1. The prevalence of hypertension, diabetes, dyslipidemia and beingoverweight among adults in Jilin province was31.0%(30.1%~31.9%),8.2%(7.8%~8.7%),36.8%(35.8%~37.8%) and47.3%(46.3%~48.4%), respectively.The prevalence of the four risk factors at different groups(gender, age, education,marital status, income, occupation) differed significantly (all P<0.05).2. Theprevalence of having zero, single, two, or multiple CVD risk factors among adults inJilin province was33.3%(32.2%~34.5%)、28.3%(27.3%~29.2%)、22.7% (21.9%~23.5%)、15.7%(15.1%~16.4%). The prevalence of free of pre-defined CVDrisk factors was33.3%,66.7%of the population had one or more CVD risk factors.3.Logistic regression models were constructed for having≥1,≥2, and≥3major CVDrisk factors. The odds ratios(OR) of having≥1,≥2,≥3versus none CVD risk factorwere1.44(95%CI:1.25to1.67),1.90(95%CI:1.64to2.21), and1.77(95%CI1.48to2.11) for males compared with females, respectively. Compared with the age group18-24years, the ORs of≥1,≥2and≥3CVD risk factors for the age group65-79yearswere7.21(95%CI:4.86to10.69),20.25(95%CI:12.50to32.81),51.25(95%CI:23.40to112.28), respectively. Smoked was the risk factor, the ORs were1.38(95%CI:1.11to1.72),1.42(95%CI:1.12to1.80) and1.46(95%CI:1.11to1.91) compared withthe people of no smoking.Drinking was the risk factor, the ORs were1.21(95%CI:1.06to1.38),1.29(95%CI:1.12to1.49) and1.33(95%CI:1.10to1.60). Salty dietwas the risk factor, the ORs were1.24(95%CI:1.09to1.40),1.30(95%CI:1.14to1.48) and1.39(95%CI:1.18to1.63). Mainly eat meat was risk factor, the ORs of≥1,≥2were1.39(95%CI:1.12to1.74) and1.44(95%CI:1.16to1.78). The high level offruits was protective factor, the ORs were0.80(95%CI:0.569to0.92),0.73(95%CI:0.62to0.85) and0.54(95%CI:0.44to0.65). Not often eat meat product wasprotective factor, the ORs were0.84(95%CI:0.73to0.97),0.82(95%CI:0.70to0.95)and0.80(95%CI:0.67to0.96).Not often eat aquatic product was risk factor, the ORswere1.18(95%CI:1.05to1.33),1.26(95%CI:1.11to1.43) and1.34(95%CI:1.15to1.57).The high level of milk was protective factor, the ORs were0.71(95%CI:0.61to0.83),0.63(95%CI:0.53to0.75) and0.56(95%CI:0.45to0.68). Exercise was riskfactor, the ORs were1.59(95%CI:1.39to1.82),1.75(95%CI:1.52to2.02) and1.99(95%CI:1.68to2.35). Family history of chronic disease was risk factor, the ORswere1.23(95%CI:1.09to1.39),1.49(95%CI:1.31to1.69) and1.79(95%CI:1.51to2.11).Conclusion High prevalence and clustering of major CVD risk factors arecommonly present among adults in Jilin province. The prevalence of the four riskfactors were significantly higher in males than females and the peak prevalence appeared in the middle-aged and old people. More effective attention and interventionare required for the male, the older and the person who with low education level. Male,old age, drinking, salty diet, mainly eat meat, the low level of fruits, the low level ofmilk, the family history of chronic disease were the risk factors of the clustering ofmajor CVD risk factors.