Cross-sectional study on comorbidities in community patients with stroke in Songjiang District， Shanghai
10.19428/j.cnki.sjpm.2022.21999
- VernacularTitle:上海市松江区社区脑卒中人群共病现状研究
- Author:
Minhua TANG
1
;
Shuheng CUI
1
;
Kangqi YI
1
;
Yiling WU
2
;
Yuting YU
1
;
Qi ZHAO
1
;
Genming ZHAO
1
;
Yonggen JIANG
2
Author Information
1. School of Public Health, Fudan University , Shanghai 200032, China
2. Songjiang District Center for Disease Control and Prevention, Shanghai 201600, China
- Publication Type:Journal Article
- Keywords:
stroke;
comorbidity;
cross-sectional study;
community
- From:
Shanghai Journal of Preventive Medicine
2022;34(9):888-894
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the comorbidity of community patients with stroke in Songjiang District， Shanghai， determine the prevalence and characteristics of comorbidities and influencing factors， and provide scientific evidence for prevention and treatment of stroke. MethodsA natural population-based cohort study was conducted in several communities of Songjiang District from April 2016 to October 2017. Questionnaire survey， physical examination and biochemical examination were conducted in the cohort population to understand the comorbidity of 1 523 patients with stroke at baseline. ResultsThe prevalence of comorbidities in community patients with stroke was 74.0%， which was higher in female （76.36%） than that in male （70.76%）. The average number of comorbidities was 2.62±1.56， which was significantly higher in female （2.70±1.58） than that in male （2.52±1.54） （t=-2.31， P=0.021）. In this population， the most common two-comorbidity combination was hypertension+central obesity （35.85%）， and the most common three-comorbidity combination was hypertension+dyslipidemia+central obesity （17.20%）， with statistically significant differences by gender and age groups （P<0.05）. Multivariate analysis showed that age ≥65 years， urban population， hyperhomocysteinemia （HHcy）， and family history of hypertension were risk factors associated with comorbidities， whereas educational level of middle school and high school， and physical exercise 1‒3 days per week were protective factors. ConclusionPrevalence of comorbidity is high in community patients with stroke in Songjiang District， Shanghai. It is suggested to control blood pressure and body weight， adopt healthy lifestyle and take comprehensive prevention and treatment measures in this population.
