摘要
目的 了解重庆市高血压、糖尿病、血脂异常患病现状及共病的影响因素,为提升防控效果提供依据。方法 根据分层随机抽样原则,从重庆市涪陵区和长寿区35~75岁常住居民中分别抽取调查对象,进行现场问卷调查、体格检查与实验室检测,进行无序多分类logistic回归分析。结果 共调查13 744人,高血压、糖尿病、血脂异常患病率分别为47.48%、12.59%、16.12%。3种慢性病中仅患1种的患病率为41.79%,患2种为14.14%,患3种为2.04%。73.71%的糖尿病患者、60.29%的血脂异常患者、32.44%的高血压患者合并患有其他2种疾病中的1种或2种。logistic回归分析结果显示,性别、≥40岁、超重和肥胖、学历为大学与患1种慢性病有统计学关联(P值均<0.05),性别、≥40岁、超重和肥胖、饮酒、非在婚与患2种慢性病有统计学关联(P值均<0.05),性别、超重和肥胖与患3种慢性病有统计学关联(P值均<0.05)。结论 重庆市两区高血压、糖尿病、血脂异常共病防控要重点关注女性、中老年和超重、肥胖人群,应用多病共管模式,提升管理效果。
Objective To study the prevalence and comorbidity influential factors of hypertension, diabetes mellitus, dyslipidemia;to provide basis to promote prevention and control effects. Methods Based on the principle of stratified random sampling method, the subjects were selected from permanent residents in Fuling District and Changshou District of Chongqing City for field questionnaire survey, physical examination and laboratory tests, and the survey data were analyzed by multinominal logistic regression analysis. Results A total of 13744 subjects were investigated, the prevalence rates of hypertension, diabetes mellitus and dyslipidemia were 47.48%,12.59% and 16.12%,respectively.The prevalence of only 1,2 and 3 of the 3 kinds of chronic diseases were 41.79%,14.14% and 2.04%,respectively.There were 73.71% of patients with diabetes, 60.29% of patients with dyslipidemia and 32.44% of patients with hypertension had 1 or 2 kinds of the other 2 kinds of diseases.The results of logistic regression analysis showed that gender, ≥40 years old, overweight/obesity and college education were statistically correlated with 1 chronic disease(all P<0.05);gender, ≥ 40 years old, overweight/obesity, drinking and unmarried status were statistically correlated with 2 kinds of chronic diseases(all P<0.05);gender, overweight/obesity were statistically correlated with 3 kinds of chronic diseases(all P<0.05). Conclusion The prevention and control of comorbidity of hypertension, diabetes and dyslipidemia in 2 districts should focus on female, middle-aged and elderly and overweight/obese population.The multi disease management model should be implemented to improve the management effect.
作者
陈晓明
周义芬
王杨凤
代雪梅
王琪
王乐琴
CHEN Xiao-ming;ZHOU Yi-fen;WANG Yang-feng;DAI Xue-mei;WANG Qi;WANG Le-qin(Chongqing Fuling District Center for Disease Control and Prevention,Chongqing 408000,China)
出处
《江苏预防医学》
CAS
2022年第6期640-643,共4页
Jiangsu Journal of Preventive Medicine
基金
重大公共卫生服务项目
重庆市涪陵区科技计划项目(FLKJ,2021BBB2046)。
关键词
高血压
糖尿病
血脂异常
共病
慢性病防控
Hypertension
Diabetes mellitus
Dyslipidemia
Comorbidity
Influential factor
