| Objective:Through the analysis of the questionnaire survey and physical examination data of working workers in Luzhou,we understand the prevalence of hypertension,diabetes,dyslipidemia and hyperuricemia in the working population,analyze their influencing factors,propose corresponding prevention strategies and measures,and provide a basis for further health management of the working population.Methods:Using a convenience sampling method,the working population who came to the physical examination departments of three tertiary hospitals in Luzhou for group physical examinations from June to November 2020 and met the inclusion and exclusion criteria of this study were used as the survey population.A self-designed"Chronic Disease Comprehensive Management Information Registration Form"was used to conduct a face-to-face questionnaire survey of the working population,and their biochemical indicators of physical examination in the corresponding year were accessed and recorded in the hospital information system and other relevant information.SPSS25.0 was used for statistical analysis,and thec~2orc~2trend test was used for univariate analysis and dichotomous logistic regression for multivariate analysis.Results:(1)Among the 3782 working people in this survey,the number of cases suffering from hypertension,diabetes mellitus,dyslipidemia,and hyperuricemia was 911,224,1694,and 910,with prevalence rates of 24.1%,5.9%,and 44.8%,and 24.1%,respectively.(2)Multivariate analysis of hypertension:The risk of hypertension was lower for women compared with men(compared with men,women:OR=0.438,95%CI:0.337～0.569);higher for those aged 40 years and older compared with those aged≤39 years(compared with≤39 years,for those aged 40～49 years:OR=3.406,95%CI:2.708～4.284;for those aged≥50 years:OR=5.364.95%CI:4.175～6.892);lower for those with college/bachelor’s degree and above compared to those with junior high school and below(compared to junior high school and below,college/bachelor’s degree and above:OR=0.644,95%CI:0.468～0.887);higher for those with BMI≥24 compared to BMI≤23.9(compared to BMI≤23.9,BMI=24～27.9:OR=2.285,95%CI:1.881～2.777;BMI≥28:OR=4.610,95%CI:3.522～6.034);higher in those with a family history of hypertension compared to those without a family history of hypertension(compared to those without a family history of hypertension,with a family history of hypertension:OR=2.047,95%CI:1.714～2.446);those who drank little or too much alcohol were likely to have higher rates than those who did not drink alcohol(compared to no alcohol,for little alcohol:OR=1.304,95%CI:1.065～1.597;for too much alcohol:OR=1.592,95%CI:1.224～2.072);higher in those with diabetes compared to those without diabetes(compared to those without diabetes,those with diabetes:OR=2.271,95%CI:1.661～3.104);higher in those with hyperuricemia compared to those without hyperuricemia(compared to those without hyperuricemia,those with hyperuricemia:OR=1.269,95%CI:1.042～1.547).(3)Multivariate analysis of diabetes mellitus:The risk of diabetes was lower in women compared to men(compared to men,women:OR=0.460,95%CI:0.250～0.848);higher in those aged 40 years and older compared to those≤39 years(compared to≤39 years,40～49 years:OR=3.874,95%CI:2.210～6.790;≥50 years:OR=8.052,95%CI:4.620～14.035);higher in those with BMI≥28 years compared to those with BMI≤23.9 years(compared to BMI≤23.9,BMI≥28:OR=2.793,95%CI:1.890～4.313).higher in those with a family history of diabetes compared to those without family history of diabetes(compared to no family history of diabetes,family history of diabetes:OR=3.904,95%CI:2.849～5.351);higher for excessive alcohol consumption compared to no alcohol consumption(compared to no alcohol consumption,excessive alcohol consumption OR=1.682,95%CI:1.121～2.522);higher in those with hypertension compared to those without hypertension(compared to those without hypertension,those with hypertension:OR=2.365,95%CI:1.721～3.249);higher in those with dyslipidemia compared to those without dyslipidemia(compared to those without dyslipidemia,those with dyslipidemia:OR=3.651,95%CI:2.454～5.432).(4)Multivariate analysis results of dyslipidemia:The risk of dyslipidemia was lower in women compared with men(compared with men,women:OR=0.426,95%CI:0.347～0.523);higher for those aged 40 years and older compared to those≤39 years(compared to≤39 years,40～49 years:OR=1.542,95%CI:1.299～1.831;≥50 years:OR=1.769,95%CI:1.436～2.179);higher in those with BMI≥24 compared with those with BMI≤23.9(compared with BMI≤23.9,BMI=24～27.9:OR=1.973,95%CI:1.678～2.319;BMI≥28:OR=3.011,95%CI:2.316-3.914);lower in never-smokers than in smokers(never-smokers,smokers:OR=0.683,95%CI:0.571～0.817);higher in those who eat smoked bacon regularly than in those who do not eat smoked bacon(compared with no smoked bacon,eat smoked bacon regularly:OR=1.638,95%CI:1.157～2.321);higher in those who eat out or socialize frequently than in those who do not or occasionally eat out or socialize(compared to those who do not or occasionally eat out or socialize,those who eat out or socialize frequently:OR=1.467,95%CI:1.090～1.975);lower in people with moderate meat and vegetables than in people with meat and vegetables(compared to meat and vegetables,moderate meat and vegetables:OR=0.699,95%CI:0.591～0.826);higher in those with diabetes compared to those without diabetes(compared to those without diabetes,those with diabetes:OR=4.242,95%CI:2.831～6.356);higher in those with hyperuricemia compared to those without hyperuricemia(compared to those without hyperuricemia,those with hyperuricemia:OR=2.029,95%CI:1.694～2.431).(5)Multivariate analysis of hyperuricemia:The risk of hyperuricemia was lower in women compared to men(compared to men,women:OR=0.086,95%CI:0.060～0.125);higher for those with a BMI≥24 compared to those with a BMI≤23.9(compared to BMI≤23.9,BMI=24～27.9:OR=1.819,95%CI:1.509～2.191;BMI≥28:OR=20,893,95%CI:2.248～3.722);higher in those who ate out more often or socialized than in those who did not or did not occasionally eat out or socialize(compared to those who did not or did not occasionally eat out or socialize,ate out more often or socialized:OR=1.331,95%CI:1.104～1.604);higher in those with dyslipidemia compared to those without dyslipidemia(compared to those without dyslipidemia,with dyslipidemia:OR=1.791,95%CI:1.503～2.135).Conclusion:(1)The prevalence of hypertension and diabetes among young and middle-aged working people aged 18～60 in Luzhou is lower than the national level,the prevalence of dyslipidemia is close to the national level,and the prevalence of hyperuricemia is higher than the national level,so the prevention and control of hyperuricemia in this population should be strengthened.(2)Working people who are male,of high age,with low education level,overweight/obese,with family history of hypertension,and with family history of diabetes are at high risk of developing hypertension,diabetes,dyslipidemia and hyperuricemia.(3)There is an interaction between hypertension,diabetes mellitus, dyslipidemia and hyperuricemia,and the exact cause-and-effect relationship needs to be further investigated.(4)The main influencing factors of hypertension,diabetes,dyslipidemia,and hyperuricemia prevalence include smoking,alcohol consumption,consumption of smoked bacon,dining out or socializing,and meat and vegetable situation.Health management and guidance for hypertension,diabetes,dyslipidemia,and hyperuricemia in the working population should be strengthened to help people develop good behavioral habits to reduce the occurrence of the four diseases. |
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