摘要
目的了解深圳市福田区慢性病高风险人群的流行特征,为开展社区慢性病高风险人群健康管理和有针对性的生活方式干预提供基础依据。方法在深圳市福田区随机抽取12个社区,再在12个社区中通过多种筛查途径（体检资料查询、日常门诊发现、家庭医生发现、义诊发现）相结合的方式,对35岁及以上没有高血压、糖尿病和血脂异常的人群提供免费体检进行筛查,符合慢性病高风险人群标准的纳入研究对象,最终确定1 923名慢性病高风险人群为研究对象。结果慢性病高风险人群的5个高风险特征中,血压水平130~139/85~89 mm Hg的检出率最高,其次为总胆固醇（TC）水平5.2 mmol/L≤TC〈6.2 mmol/L、男性腰围≥90 cm或女性腰围≥85 cm,分别为61.52%、46.54%、39.52%;空腹血糖（FPG）水平6.1 mmol/L≤FPG〈7.0 mmol/L的检出率最低,为12.06%。该慢性病高风险人群以具有1个或2个高风险特征的人群为主（1 577人,82.01%）,具有3个及以上高风险特征的人数较少（346人,17.99%）。男性慢性病高风险人群的舒张压、FPG、腰围水平及吸烟率高于女性,差异均有统计学意义（P〈0.05）。不同年龄段慢性病高风险人群的收缩压、舒张压、FPG、TC水平及吸烟率均不同,差异均有统计学意义（P〈0.05）。不同文化程度的高危人群收缩压水平不同,差异有统计学意义（P〈0.05）。不同婚姻状况高危人群的5个高风险特征水平差异均无统计学意义（P〉0.05）。结论应尽早发现慢性病高风险人群,积极开展社区健康管理和有针对性的生活方式干预,降低群体和个体慢性病危险水平,防止和延缓慢性病的发生。
Objective To investigate the prevalence characters of residents with high risk of chronic diseases in Futian district of Shenzhen city and to provide the basis of health management and lifestyle intervention for residents with high risk of chronic diseases in community. Methods Twelve communities were randomly selected from Futian district of Shenzhen city, a variety of methods （physical examination data query, daily outpatient discovery, family doctor discovery, clinic found） were used to screen and physically examine the residents （〉35 years old） without hypertension, diabetes and dyslipidemia. Finally, 1 923 residents with high risk of chronic diseases served as the subjects. Results Among five high risk characters, the detection rate of blood pressure level at 130-139/85-89 mmHg was the highest, the second was the rate of total cholesterol level （TC） at 5.2 mmol/L≤ TC〈6.2 mmol/L was 61.52 %, the third was waist circumference （the rate of male waist circumference 〉~ 90 cm was 46.54% and female waist circumference ≥ 85 cm was 39.52% ）, the detection rate of fasting plasma glucose （FPG） level at 6.1 mmol/L ≤ FPG 〈 7.0 mmol/L was the lowest （12.06%）. The residents with 1 or 2 high risk characteristics were 1 577 cases （82.01%）, and the residents with ≥ 3 high risk characteristics were 346 cases （17.99%）. The rates of high diastolic blood pressure level, high FPG level, high waist circumference level and smoking in high risk males were higher than those in high risk females （P〈0.05）. There were significant differences of systolic blood pressure, diastolic blood pressure, FPG, TC levels and smoking rates among different ages （P〈O.05）. The systolic blood pressure levels were different among residents with different education levels （P〈0.05）. There were no significant differences of five high risk characters among residents with different marital status （P〉0.05）. Conclusion The residents with high risk of chronic diseases should be found as early
出处
《中国慢性病预防与控制》
CAS
2015年第7期487-490,共4页
Chinese Journal of Prevention and Control of Chronic Diseases
基金
中国疾控中心慢病中心慢性病高风险人群健康管理项目
关键词
慢性病
高风险人群
现况分析
Chronic diseases
Population with high risk
Cross-sectional study
