Prevalence And Influencing Factors Of Dyslipidemia In Adults In Hunan Province,2018

ObjectiveTo investigate the prevalence of adult dyslipidemia in Hunan Province in 2018,and awareness,treatment,control,and related influencing factors,to provide a reference for the formulation of dyslipidemia prevention and control policies.MethodsThis study uses data from Hunan Province,a major national public health service project-"Chinese Adult Chronic Disease and Nutrition Surveillance(2018)".The national project is designed to ensure provincial representativeness,adopted multi-stage stratified cluster random sampling,and conducted questionnaire survey,physical examination and laboratory test among the respondents.Taking the permanent residents of Hunan Province as the research object,four levels of blood lipid of adults with different population characteristics were calculated.And the prevalence,awareness,treatment and control rates of dyslipidemia.The influencing factors of the prevalence,awareness,treatment and control rates of dyslipidemia were analyzed.SAS 9.4 software was used for analysis,T test or analysis of variance was used to compare the four lipid levels of different characteristics of the population,complex sampling design Rau-Scott χ2test was used to estimate the prevalence rate,awareness rate,treatment rate and control rate of adult dyslipidemia in Hunan Province,complex sampling design multivariate Logistic regression model was used to analyze the influencing factors.Results1.The levels of adult TC,TG,LDL-C and HDL-C in Hunan Province in 2018 were 5.03,2.00,3.01,and 1.33mmol/L.Different age groups,nationalities,education levels,marital status,and occupational categories have differences in TC levels.Different age groups and education levels have differences in TG levels.Different age groups,nationalities,education levels,marital status,and occupation categories have differences in LDL-C levels,There are differences in HDL-C levels in different ages,education levels,and occupational categories,all of which are statistically significant(p<0.05).2.The total prevalence of dyslipidemia was 40.76%,and the prevalence rates of high TC,high TG,high LDL-C,and low HDL-C were9.52%,23.57%,8.90%,and 20.34%,respectively.The dyslipidemia in Hunan Province is mainly hypertriglyceridemia and high HDL-C.There are differences in the prevalence of high TC in different age groups,education levels,and marital status.There are differences in the prevalence of hyper-TC in different genders,age groups,urban and rural areas,and different age groups,urban and rural areas,education levels,and marital status are high LDL-There are differences in the prevalence of C disease,and there are differences in the prevalence of low HDL-C disease in different genders and age groups,all with statistical significance(p<0.05).3.The awareness,treatment and control rates of adult dyslipidemia in Hunan Province in 2018 were 14.50%,6.91%,and 5.85%,respectively.The contrast with other countries and regions is relatively low.The differences in awareness rates of dyslipidemia among residents of different age groups,regions,ethnicities,education levels,marital status,occupational categories,meat intake,sleep status,BMI,central obesity,hypertension,and diabetes were statistically significant(P <0.05).The differences in treatment rates of dyslipidemia among residents of different age groups,regions,education levels,marital status,occupational categories,meat intake,BMI,central obesity,hypertension,and diabetes were statistically significant(P< 0.05),the differences in the control rate of dyslipidemia among residents of different age groups,nationalities,marital status,occupation types,fruit and vegetable intake,sleep status,central obesity and hypertension were statistically significant(P<0.05).4.The analysis results of a multivariate logistic regression model based on a complex sampling design showed that females(OR=0.77,95%CI: 0.63～0.93)and daily drinking(OR=0.62,95%CI: 0.42～0.91)were abnormal blood lipids in adults in Hunan Province Protective factors for illness;daily smoking(OR=1.87,95%CI: 1.16～3.03),smoking cessation(OR=1.57,95%CI: 1.02～2.41),less than 7 hours of sleep(OR=1.46,95%CI):1.23～1.73),overweight(OR=1.96,95%CI: 1.6～2.4),central obesity(OR=1.56,95%CI: 1.16～2.1),hypertension(OR=1.33,95%CI: 1.1～1.61),diabetes(OR=2.44,95%CI: 1.86～3.2),hyperuricemia(OR=2.18,95%CI: 1.74～2.72)are the risk factors for adult dyslipidemia in Hunan Province.All were statistically significant(P<0.05).5.In 2018,the logistic analysis of the influencing factors of the awareness rate,treatment rate and control rate of adult dyslipidemia in Hunan Province showed that the high age group(45～59 years old group:OR=3.44,95%CI: 1.59～7.45;60～year old group): OR=3.68,95%CI:1.28～10.65),college education and above(OR=2.82,95%CI: 1.65～4.82),occupation(other occupations: OR=1.9,95%CI: 1.37～2.62;Retirees:OR=2.85,95%CI: 1.78～4.55)Sleep less than 7 hours(OR=1.43,95%CI:1.01～2.03),overweight and obesity(overweight: OR=1.72,95%CI:1.42～2.09 Obesity: OR=2.29,95%CI: 1.62～3.24),hypertension(OR=1.82,95%CI: 1.31～2.53),diabetes(OR=1.35,95%CI: 1.05～1.74)are all dyslipidemias Facilitating factors for the awareness rate,excessive intake of animal meat(OR=0.99,95%CI: 0.99～1)and other ethnic groups(OR=0.51,95%CI: 0.3～0.86)are the limiting factors for the awareness rate of dyslipidemia;high Age group(45～59 years old group: OR=9.87,95%CI:1.67～58.31;60～year old group: OR=11.56,95%CI: 1.58～84.46),high education level(junior high school and high school: OR=1.36,95%CI:1.07～1.73;college and above: OR=3.04,95%CI: 1.82～5.07;),occupation(other occupation group: OR=1.83,95%CI: 1.2～2.78;retiree group:OR=2.57,95%CI: 1.61～4.12),hypertension(OR=1.38,95%CI:1.03～1.85),diabetes(OR=1.47,95%CI: 1.05～2.08)are all related to the treatment rate of dyslipidemia Facilitating factors;high age group(30-44 years old group: OR=5.03,95%CI: 2.33-10.88;45-59 years old group:OR=7.25,95%CI: 2.73-19.27;60-year old group: OR= 9.1,95%CI:3.52～23.51;),occupation(other occupation group: OR=2.36,95%CI:1.65～3.38;unemployed group: OR=1.69,95%CI: 1.11～2.57;retired group : OR=2.38,95%CI: 1.42～4.01;),hypertension(OR=1.71,95%CI:1.18～2.47)are all promoting factors for the control rate of dyslipidemia,other ethnic groups(OR=0.4,95%CI):0.23～0.69)is the control rate of dyslipidemia Constraints.Conclusion1.The total prevalence of adult dyslipidemia in Hunan Province in2018 was 40.76%,which was at a relatively high level,and was mainly hypertriglyceridemia and hypo HDL-Cemia.2.The awareness,treatment and control rates of adult dyslipidemia in Hunan Province in 2018 were 14.50%,6.91%,and 5.85%,all of which were at a relatively low level.3.Women,drinking,daily smoking,smoking cessation,lack of sleep for 7 hours,overweight,central obesity,hypertension,diabetes,and hyperuricemia are the influencing factors of adult dyslipidemia in Hunan Province.4.Age,ethnicity,education level,occupation,meat intake,sleep status,overweight and obesity,hypertension,and diabetes are all influencing factors for the awareness rate of dyslipidemia.Age,education level,occupation,hypertension,and diabetes are all dyslipidemias The influencing factors of treatment rate,age,ethnicity,occupation,and hypertension are all influencing factors of dyslipidemia control rate.