摘要
目的了解江苏省城乡居民主要慢性病患病情况及其影响因素,为采取慢性病干预措施提供科学依据。方法采用多阶段分层随机抽样方法对在江苏省14个区/县随机抽取的8 400名≥18岁常住居民进行问卷调查、体格检查和实验室检测。结果江苏省城乡居民慢性病患病率为75.55%,江苏省标化患病率为68.46%,全国标化患病率为67.35%;患病率居于前3位的慢性病依次为高血压(49.14%)、中心性肥胖(41.86%)和血脂异常(32.01%);多因素logistic回归分析结果表明,年龄≥35岁、居住区域为苏中和苏北地区、戒烟、肉食性膳食模式得分最高四分位数组是江苏省城乡居民慢性病患病的危险因素;文化程度大专及以上、健康膳食模式得分第二和最高四分位数组是江苏省城乡居民慢性病患病的保护因素。结论高血压、中心性肥胖和血脂异常是江苏省城乡居民的主要慢性病,该地区居民慢性病患病的影响因素为年龄、文化程度、居住区域、吸烟情况和膳食模式。
Objective To examine the prevalence of chronic diseases and its risk factors among residents in Jiangsu province. Methods Multi-stratified clustering sampling method was used. Information on demographics, chronic disea ses ,and behavionral factors among 8 400 residents aged 18 years or above were collected with a questionnaire survey,an thropometric measurement, and biochemical test of blood. Multivariate logistic regression models were used to identify risk factors. Results The prevalence of chronic diseases was 75.55 % among the residents. Hypertension, central obesity and lipid abnormality were the top three prevalent diseases, with the prevalence of 49. 14% ,41.86%, and 32.01%, re spectively. The prevalence of obesity, diabetes, and depression were 13.64% , 8.49% , and 1.14% , respectively. Com pared with the south area, which was more economically developed, the odds ratio （OR） of the chronic diseases in the north area and the central area were 1.53（95% confidence interva1E95% CI] ：1.31 - 1.79） and 1.85（95% CI：I. 57 - 2. 18）. The risk of chronic diseases increased with age, but decreased with education level. Meat dietary pattern elevated the risk of chronic diseases, while healthy dietary pattern decreased the risk. Conclusion Hypertension, central obesity, and lipid abnormality are the most prevalent chronic diseases among the residents of Jiangsu province. Age, residense, and education influence the risk of chronic diseases. High-fat diet might be a risk factor for chronic diseases and healthy diet might be a protective factor.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2014年第1期8-12,共5页
Chinese Journal of Public Health
关键词
慢性病
患病情况
危险因素
监测
chronic disease
prevalence
risk factor
surveillance
