Objective: To understand the prevalence rate and correlative factors of dislipidemia among Shanxi coal miners and to provide evidence for the development of programs on dislipidemia prevention. Methods: We investigated 1 337 mine workers from a Coal Group in April 2016 and collected data related to their blood biochemistry. We then classified the types in accordance with the diagnostic criteria of " Guidelines for prevention and treatment of dyslipidemia in Chinese adults (2007)" , using χ(2) test and unconditional logistic regression model for analysis. Results: The overall prevalence rate of Dislipidemia was 59.1% (790/1 337), with males as 60.4% (708/1 173) and females as 50.0%(82/164) while males appeared higher (χ(2)=6.386, P<0.05). Among the 20-34, 35-49, 50 and above year-old groups, the rates were 68.8%, 58.7%, 49.5%, respectively. Results from the χ(2) test showed that gender, age and body mass index were the influencing factors on dislipidemia (χ(2)=7.117, P<0.01; χ(2)=37.135, P<0.01; χ(2)=7.009, P<0.05), while logistic regression analysis showed that sex, age, body mass index level, systolic blood pressure were significantly associated with dislipidemia (P<0.05). Male miners appeared 1.501 times (OR=1.501, 95%CI: 1.895-2.516) higher than female miners in suffering from the risk of dyslipidemia. In different age groups, risks of dyslipidemia in the 35-49, 20-34 year-old groups were 1.672 (OR=1.672, 95%CI: 1.501-2.392) and 2.369 times (OR= 2.369, 95% CI: 1.275-3.469) higher than the 50 year-old. Group that with high BMI, the risk of dyslipidemia was 1.443 times (OR=1.443, 95%CI: 1.139-1.828) higher than the normal BMI group. Group with abnormal systolic pressure was 1.829 times (OR=1.829, 95%CI: 1.152-2.906) higher than normal systolic pressure group. However, diastolic blood pressure, blood sugar, uric acid, and electrocardiogram findings did not seem to show statistically significant meanings on dislipidemia. Conclusion: Among the coal mine workers, those who were males, aged from 20 to 34, having high blood pressure (systolic blood pressure abnormalities) or with high BMI (≥24.0 kg/m(2)) need to be taken special attention on care and prevention of dislipidemia.
目的：了解山西省煤矿工人血脂异常患病情况并分析其相关因素。 方法：收集2016年4月在山西省太原市某煤矿1 337名工人体格检查与血液生化指标检测资料；按照2007年《中国成人血脂异常防治指南》诊断标准作为血脂异常的判定标准；采用χ(2)检验和非条件logistic回归模型对该煤矿工人血脂异常相关因素进行分析。 结果： 1 337例煤矿工人血脂异常总患病率为59.1%（790/1 337），其中男性患病率为60.4%（708/1 173），女性患病率为50.0%（82/164），男性患病率高于女性（χ(2)＝6.386，P<0.05）；20~ 34、35~ 49和≥50岁工人患病率分别为68.8%、58.7%和49.5%，20～34岁年龄组患病率最高。χ(2)检验结果显示，煤矿工人性别、年龄和BMI是血脂异常的相关因素（χ(2)＝7.117，P<0.01；χ(2)＝37.135，P<0.01；χ(2)＝7.009，P<0.05）；非条件logistic回归分析结果显示，该煤矿工人性别、年龄、BMI水平、收缩压≥140 mmHg (1 mmHg= 0.133 kPa）与血脂异常存在关联（P<0.05）；与女性矿工相比，男性矿工患血脂异常的风险是女性矿工的1.501倍（OR＝1.501 ，95 %CI：1.895~ 2.516）；从年龄分组看，35~ 49岁组、20~ 34岁组血脂异常患病风险分别为≥50岁组的1.672倍（OR＝1.672，95% CI：1.501~ 2.392）和2.369倍（OR＝2.369，95% CI： 1.275~ 3.469）；较正常BMI组，高BMI组血脂异常患病风险为其1.443倍（OR＝1.443 ，95%CI： 1.139~ 1.828）；收缩压异常组血脂异常患病风险为正常组的1.829倍（OR ＝1.829 ，95 %CI ：1.152～ 2.906）；而舒张压、血糖、血尿酸、心电图检测结果与血脂异常的差异均无统计学意义。 结论：该煤矿工人血脂异常患者主要为20～34岁男性，有高血压（收缩压异常）病史、高BMI （≥24.0 kg/m(2)）的该煤矿工人患血脂异常可能性较大，需要引起重视。.
Keywords: Coal miners; Correlative factors; Dislipidemia.