摘要
目的了解上海市嘉定区社区居民常见慢性病多病共患现状及其影响因素,为社区居民常见慢性病多重患病的综合防控提供参考依据。方法于2019年7—9月采用多阶段随机整群抽样方法在上海市嘉定区抽取3个街镇12个居委会/村10 053名20~75岁常住户籍居民进行问卷调查和体格检查。结果上海市嘉定区10 053名社区居民中,患多种慢性病者4 920例,慢性病多病共患率为48.94%;在4 920例多病共患慢性病者中,患2种慢性病者1 988例(40.41%),患3种慢性病者1 314例(26.71%),患≥4种慢性病者1 618例(32.89%)。多因素非条件logistic回归分析结果显示,男性、年龄≥30岁、未体育锻炼和睡眠质量差是上海市嘉定区社区居民常见慢性病多病共患的危险因素;不吸烟、睡眠质量好和不吃甜食是上海市嘉定区社区居民常见慢性病多病共患的保护因素。结论上海市嘉定区社区居民慢性病多病共患率较高,性别、年龄、吸烟情况、体育锻炼情况、睡眠质量和甜食喜好是当地社区居民常见慢性病多病共患的主要影响因素。
Objective To examine the comorbidity of chronic diseases and its associates among community residents of Jiading district of Shanghai city and to provide evidences for comprehensive prevention of common chronic diseases in community populations. Methods Using multistage stratified cluster random sampling, we recruited 10 053 permanent residents aged 20-75 years in 12 neihborhood committees/villages in Jiading district of Shanghai municipality and conducted face-to-face questionnaire survey and physical examination among the residents during July-September 2019.Results Among the participants, 4 920(48.94%) were identified suffering from at least two chronic diseases;of all the sufferers of chronic disease comorbities, 1 988(40.41%), 1 314(26.71%), and 1 618(32.89%) had two, three, and four or more chronic diseases. The results of unconditional multivariate logistic regression analysis demonstrated that male gender,aged ≥ 30 years, lack of physical exercise and with poor sleep quality were risk factors for chronic disease comorbidities;whereas, not smoking, having good sleep quality and without sweet food preference were protective factors against chronic disease comorbidities for the participants. Conclusion Among community residents of Jiading district of Shanghai municipality, the prevalence of chronic disease comorbidities is relatively high and mainly influenced by gender, age,smoking, physical exercise, sleep quality and sweet food preference.
作者
李安乐
赵根明
江峰
王吉龙
王亦峰
张伟峰
季莹
LI An-le;ZHAO Gen-ming;JIANG Feng(Jiading District Center for Disease Control and Prevention,Shanghai 201800,China;不详)
出处
《中国公共卫生》
CSCD
北大核心
2021年第12期1766-1769,共4页
Chinese Journal of Public Health
基金
国家重点研发计划精准医学重点专项(2017YFC0907000)
上海市高峰计划公共卫生与预防医学重点学科建设项目。
关键词
常见慢性病
多病共患
影响因素
社区居民
common chronic disease
comorbidity
influencing factor
community residents
