Prevalence rate and influencing factors of stroke among the middle-aged and elderly population in Shenzhen city
TAN Shu-ran1, YANG Ting-ting2, LIU Jian-xin3, ZHANG Sheng-chao4, YANG Yu-di3, WANG Chao3, ZENG Xiao-zhou4, XU Hong-bin3, GAN Yong3, WANG Zhi-hong5, LU Zu-xun3
1. The First Clinical School, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, China; 2. The People’s Hospital of Henan Province, Zhengzhou, Henan 450003, China; 3. Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, China; 4. Community Health Service Management Center, the Central Hospital of Bao’an District, Shenzhen, Guangdong 518100, China; 5. The Second People's Hospital of Shenzhen City, Shenzhen, Guangdong 518035, China
Abstract：Objective To explore the prevalence rate of stoke and its associated factors among the middle-aged and elderly population in Shenzhen city, and to provide a basis for study of stroke prevention and control. Methods A cluster sampling method was used to select 12,908 permanent residents aged 40 years and above from three community screening points in Shenzhen city from March 2013 and April 2015 to serve as the research subjects. All participants were screened using standardized questionnaires, physical examination and laboratory testing. Logistic stepwise regression analysis was employed to identify the main related factors for the prevalence of stroke. Resultss The crude prevalence rate of stroke in the middle-aged and elderly population in Shenzhen city was 4.06%, and the prevalence rate of stroke was higher in males than in females (5.46% vs. 2.89%, χ2=48.791, P<0.001). Age (the 50-59 year age group: OR=1.72, 95%CI:1.23-2.40; 60-69 year age group: OR=2.23, 95%CI:1.60-3.09; ≥70 year age group: OR=3.93, 95%CI:2.81-5.48), males (OR=1.74, 95%CI:1.38-2.18), unmarried status (OR=1.90, 95%CI:1.27-2.84), without medical insurance (OR=1.51, 95%CI:1.21-1.88), having a family history of stroke (OR=2.92, 95%CI:2.21-3.86), frequency of alcohol consumption (occasionally: OR=0.55, 95%CI:0.39-0.79; often: OR=0.55, 95%CI:0.33-0.91), smoking (current smoking: OR=1.59, 95%CI: 1.19-2.14; quitting smoking: OR=2.53, 95%CI:1.74-3.70), excessive salt intake (OR=2.41, 95%CI:1.96-2.96), inadequate intake of fruit (OR=1.75, 95%CI: 1.44-2.14), inadequate intake of milk and dairy products (OR=1.28, 95%CI:1.04-1.58), physical inactivity (OR=1.32, 95%CI:1.04-1.58), hypertension (OR=1.31, 95%CI: 1.07-1.61) and high homocysteine (OR=1.69, 95%CI:1.37-2.04) were closely related to the prevalence of stroke among the middle-aged and elderly. Conclusions The prevalence rate of stroke in the middle-aged and elderly population in Shenzhen city was high. The factors affecting the prevalence of stroke are complex and various. The results suggest that it is necessary to formulate intervention measures based on different demographic characteristics so as to effectively conduct stroke prevention and control.
谭舒然, 杨婷婷, 刘建新, 张升超, 杨宇迪, 王超, 曾小舟, 徐鸿彬, 甘勇, 汪志宏, 卢祖洵. 深圳市中老年人群脑卒中患病率及影响因素分析[J]. 实用预防医学, 2019, 26(11): 1288-1293.
TAN Shu-ran, YANG Ting-ting, LIU Jian-xin, ZHANG Sheng-chao, YANG Yu-di, WANG Chao, ZENG Xiao-zhou, XU Hong-bin, GAN Yong, WANG Zhi-hong, LU Zu-xun. Prevalence rate and influencing factors of stroke among the middle-aged and elderly population in Shenzhen city. , 2019, 26(11): 1288-1293.
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2019, Vol. 26 
