摘要
目的了解35岁及以上城市居民慢性病患病现状及相关影响因素,为慢性病的防控提供科学依据。方法采用分层整群随机抽样方法,随机抽取8190名年满35周岁的城市居民,以入户面访方式进行问卷调查,调查问卷内容包括人口学特征、健康相关行为以及慢性病检出情况。结果慢性病总体患病率为32.21%,标化率为29.19%,同时患2种及其以上慢性病患病率为8.12%;患病率居于前5位的疾病依次为高血压(12.99%)、心脏病(7.86%)、糖尿病(3.91%)、脑血管疾病(3.51%)、椎间盘疾病(2.39%)。多因素非条件Logistic回归分析显示,性别(OR=1.311)、年龄(OR=1.860)、文化程度(OR=0.909)、职业(OR=1.188)、婚姻状况(OR值分别为0.515、0.672)、家庭年收入(OR=0.789)、吸烟(OR=2.155)、睡眠质量(OR=0.618)以及体质指数(OR=1.246)是慢性病患病的影响因素。结论慢性病的防治工作要结合人口学、社会经济学特征和健康相关行为有针对性的开展。
Objective To explore the prevalence of chronic diseases and its risk factors among residents aged≥ 35, and provide scientific evidence for formulating appropriate prevention and control measures. Methods A total of 8190 residents aged≥35 were selected randomly by stratified multi-stage cluster sampling. Self-designed questionnaire was adopted, and the content included general demographic data, health-related behaviorand the detection results of chronic diseases. Results The prevalence of chronic diseases was 32. 21% among the residents, and the age-adjusted rates were 29. 19%. Hypertension, heart disease, diabetes, cerebrovascular disease and lumbar disc disease were top 5 prevalent diseases in study population with the prevalence rates of 12.99%, 7. 86%, 3.91%, 3. 51%, 2. 39%, respectively. Logistic regression analysis showedthat influencing factors were gender （ OR = 1. 311 ）, age （ OR = 1. 860）, educational level （ OR = 0.909）, occupation （OR=1.188）, marriage （OR=0.515, 0.672）, income （OR=0.789）, smoking status （OR= 2. 155）, sleeping quality （OR =0.618） and BMI （OR = 1. 246）. Conclusion The targeted intervention activities combined with local demographic and socioeconomic characteristics are necessary for chronic disease prevention.
出处
《中国健康教育》
北大核心
2017年第5期430-433,448,共5页
Chinese Journal of Health Education
关键词
慢性病
患病率
危险因素
Chronic disease
Prevalence rate
Risk factors
