摘要
目的:了解中国东北吉林省德惠市城乡居民高血压、糖尿病(DM)、血脂紊乱、酒精性肝病(ALD)、非酒精性脂肪性肝病(NAFLD)、代谢综合征(MS)及肥胖(Obesity)等9种非传染性慢性疾病的流行病学现状,并对这些慢性病危险因素进行分析。方法:采用分层抽样方法,对德惠市11个居委会和9个村共6 043人进行问卷调查和体格检查。采用多因素Logistic回归分析对各疾病的相关危险因素进行分析。结果:东北地区德惠城乡居民的高血压、DM、血脂紊乱、ALD、NAFLD、MS、超重和中心型肥胖的患病率分别为28.67%、4.82%、51.00%、3.74%、15.5%、21.54%、58.22%和36.67%;不同疾病患病率性别间比较有差异,高血压患病率男性多于女性(P<0.001),中心性肥胖、血脂紊乱、MS和NAFLD患病率女性大于男性(P<0.05)。高龄(OR=1.04,95%CI为1.03～1.05)、脂肪肝(OR=19.42,95%CI为11.62～32.4)、高血糖(OR=1.15,95%CI为1.06～1.26)、高胆固醇血症(OR=1.38,95%CI为1.19～1.59)、高甘油三酯血症(OR=1.32,95%CI为1.1～1.49)和高体重指数(OR=1.42,95%CI为1.3～1.47)是非传染性慢性病的主要危险因素。结论:中国东北部地区德惠市部分非传染性慢性病的发病率较高,且随着年龄的增长患病率逐渐增高;慢性病的发病和进展与本地区的生活、饮食习惯、经济水平、教育程度、地区差异有明显相关性。
Objective To provide epidemiological data of non-infectious chronic diseases containing hypertension,diabetes mellitus（DM）,dyslipidemia,alcoholic fatty liver disease（ALD）,non-alcoholic fatty liver disease（NAFLD）,metabolic sydrome（MS）,overweight and central obesity and determine their risk factors in Dehui city in Jilin Province.Methods A total of 6 043 individuals including 11 neighborhoods and 9 villages were chosen based on cross-section study.A multivariate logistic regression was conducted between non-infectious chronic diseases and those risk factors.Results The prevalences of hypertension,DM,dyslipidemia,ALD,NAFLD,MS,overweight and central obesity were reported as 28.67%,4.82%,51.00%,3.74%,15.5%,21.54%,58.22%,and 36.67%,respectively,and the prevalence of hypertention was higher in males than that in females（P〈0.001）,and the results were reversed in central obesity,dyslipidemia,MS and NALD（P〈0.05）.A multivariate logistic regression analysis showed that the OR were 1.04（95%CI：1.03-1.05） for age,19.42（95%CI：11.62-32.4） for fatty liver,1.15（95%CI：1.06-1.26） for FBG,1.38（95%CI： 1.19-1.59） for hypercholesterolemia,1.32（95%CI：1.1-1.49） for hypertriglyceridemia,1.42（95%CI：1.3-1.47）for BMI,which were the main risk factors for non-infectious chronic diseases.Conclusion Non-infectious chronic diseases are very common among adult population in Dehui.As people get older the prevalence of various chronic diseases gradually increases.The occurrence and development of non-infectious chronic diseases has significant relation with life habit,dietary habit,economic level and education.
出处
《吉林大学学报（医学版）》
CAS
CSCD
北大核心
2011年第2期379-384,共6页
Journal of Jilin University：Medicine Edition
基金
吉林省科技厅科研基金资助课题(200805107)
关键词
非传染性慢性疾病
流行病学
患病率
危险因素
non-infectious chronic diseases； epidemiology； prevalence； risk factors；
