摘要
目的了解北京市崇文区职业人群常见慢性病患病现状、分析及相关危险因素,为制定职业人群合理的慢性病防治策略提供参考依据。方法应用多阶段整群抽样方法,选择4个监测点年龄在18~60岁的350名职业人员进行问卷调查、体格测量和实验室检查。结果调查人群中高血压、糖尿病、血脂异常患病率分别为32.6%、12.6%和20.9%。呈现出随着年龄增长患病率升高的趋势(P<0.01),不同职业慢性病患病情况差异无统计学意义(P>0.05)。非条件Logistic回归分析显示体质指数(BMI)是影响高血压患病的最主要因素,超重、肥胖者患高血压的可能性分别是体重正常者的2.83和6.04倍。此外,年龄、腰围、饮酒、糖尿病也是高血压患病的危险因素;在血脂异常的Logistic回归分析中,男性(OR=2.109)、腰围超标(OR=3.688)、业余静态时间≥4h(OR=1.762)、有慢性病家族史(OR=2.109)和糖尿病(OR=2.476)的人患血脂异常的危险性增加。结论应将男性、超重、肥胖、腰围超标的以静坐行业为主的职工作为干预重点,加强健康教育和宣传,改善危险因素水平。
Objective To explore the prevalence and risk factors for common chronic diseases among occupational population in Beijing Chongwen district.Methods A total of 350adults aged 18to 60years were selected by multi-stage cluster sampling method.All participants were invited to receive a face-to-face questionnaire interview,physical examination and laboratory tests.Results The prevalence of hypertension,diabetes and dyslipidemia were 32.6%,12.6%and 20.8%respectively.An upward trend can be seen in the prevalence of these diseases with age rising(P<0.01).And no statistic differences were seen in different occupation(P>0.05).Logistic analysis showed that BMI was the primary risk factor of hypertension.The possibility of developing hypertension in overweight or obese person was 2.83and 6.04times higher than people with normal weight.The analysis also showed that men(OR=2.109),sitting more than 4hours per day(OR= 1.762),having a family history of chronic disease(OR=2.109),diabetes(OR=2.476)and longer waist circumference(OR=3.688)were at high-risk for dyslipidemia.Conclusions Common chronic diseases and related risk factors are very popular among the mental work professinal people.We should take more notice of the group who are men,overweight,obesity,and those with longer waist circumference in conducting health education and intervention.
出处
《慢性病学杂志》
2013年第1期29-32,共4页
Chronic Pathematology Journal
