Influencing factors of coronary heart disease in urban-rural residents of Fuzhou
Fu Fayuan
Xu Youqiong
Cao Xiangyu
Li Hong
Zhang Xiaoyang
Abstract：study the prevention and treatment of coronary heart disease (CHD) and their influencing factors in community residents, and provide basic data for primary medical institutions to develop health education and promotion. Methods CHD patients (n=748) were chosen from communities (or health centers) into case group in 2017 after selecting respectively 2 primary medical institutions (community or health center) in a city (in Taijiang District) and 2 primary medical institutions in a village (in Minhou County) in Fuzhou region according to the method of stratified cluster random sampling. At the same time 748 healthy residents (without CHD) were chosen into control group. The health archival data was collected from 2 groups and a questionnaire was carried out. Results The awareness rate, interventional treatment rate and control rate were significantly higher in urban residents than those in rural residents in case group (79.5% vs. 59.7%; 60.7% vs. 43.6%; 73.5% vs. 65.7%; all P<0.01). The awareness rate of CHD, smoking rate, percentages of patients with salty taste, sleep time less than 6 h, poor sleep quality, life stress, generalized obesity, central obesity, history of hypertension or diabetes, family history of coronary heart disease or hypertension or diabetes, WBC≥9.5×109/L, Scr≥115 μmol/L, BUN≥8.3 mmol/L, TG≥1.7 mmol/L, TC≥5.2 mmol/L, HbA1c≥6.5% and detection rate of average concentration of CO≥0.7 mg/m3 in living area in case group were significantly higher than those in control group (all P<0.05). The drinking rate, rate of using kitchen ventilator, and percentages of patients with ApoA1/ApoB≥1, Hb≥150 g/L, Tbil≥17.1 μmol/L and Dbil≥7.1 μmol/L were all lower in case group than those in control group (all P<0.05). The results of multivariate analysis showed that smoking, sleep time less than 6 h, poor sleep quality, stressful life, history of hypertension, history of diabetes, family history of CHD, HbA1c≥6.5% and average concentration of CO≥0.7 mg/m3 in living area were positively correlated to CHD, and drinking, ApoA1/ApoB≥1 and Tbil≥17.1 μmol/L were negatively correlated to CHD. Conclusion The awareness rate, interventional treatment rate and control rate are higher in urban residents than those in rural residents. CHD is closely correlated to lifestyle, living condition and history of hereditary diseases.
Keywords：Urban-rural residentsCoronary heart diseaseInfluencing factorsCase-control study
Publication Date：2019-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 1306-1310 )