Analysis on epidemiological characteristics and related factors of dyslipidemia among adult residents of Xinjiang Uygur Autonomous Region during 2013-2014 / 中华预防医学杂志

ABSTRACT

Objective@#To study the epidemiological characteristics and related factors of dyslipidemia among adult residents in Xinjiang Uygur Autonomous Region (Xinjiang) in 2013-2014.@*Methods@#A total of 4 120 adult residents consisting of Han and Uygur group aged over 18 years old were selected by using a stratified cluster random sampling method in 8 counties of Xinjiang from 2013 to 2014. The related factors of dyslipidemia were collected by questionnaire and physical measurement. The total cholesterol, triglyceride, high-density lipoprotein cholesterol and low-density lipoprotein cholesterol were detected by enzyme method. Factors associated with dyslipidemia were analyzed by chi-squared test and a multivariate unconditioned logistic regression model adjusted for gender, urban or rural area, age-group, body mass index (BMI), central obesity, smoking, drinking, education attainment, diabetes mellitus and hypertension.@*Results@#The prevalence of dyslipidemia was 45.00% (1 854 cases). The prevalence of dyslipidemia was higher in Uygur group (47.80% (977/2 044)) than that in Han group (42.24% (877/2 076)) (χ2=12.84, P<0.001). The analysis showed that dyslipidemia was related with gender (OR=0.41, 95%CI 0.33-0.51), urban area (OR=0.54, 95%CI 0.39-0.76), BMI (overweight group (OR=1.52, 95%CI 1.18-1.96); obesity group (OR=2.20, 95%CI 1.64-2.96)), central obesity (OR=1.66, 95%CI 1.29-2.14) and diabetes mellitus (OR=1.49, 95%CI 1.06-2.11) in Uygur group. The analysis also showed that dyslipidemia was related with BMI (overweight group (OR=1.72, 95%CI 1.32-2.25), obesity group (OR=2.60, 95%CI 1.85-3.64)), central obesity (OR=1.45, 95%CI 1.13-1.87), smoking (OR=1.46, 95%CI 1.09-1.95), diabetes mellitus (OR=1.77, 95%CI 1.38-2.25) and hypertension (OR=1.62, 95%CI 1.31-2.00) in Han group.@*Conclusions@#The prevalence of dyslipidemia in Xinjiang was higher than the national average prevalence. The prevalence of dyslipidemia in Uygur group was significantly higher than that in Han group. The gender, living area, BMI, central obesity and diabetes mellitus were risk factors of dyslipidemia in Uygur group, and BMI, central obesity, smoking, diabetes mellitus and hypertension were risk factors of dyslipidemia in Han group in Xinjiang.