摘要
目的了解湖南省成年居民慢性病患病情况及其影响因素,为慢性病管理提供参考。方法于2021年4—6月,采用多阶段随机抽样方法,抽取湖南省30个县(区)≥18岁常住居民为调查对象,通过问卷调查收集人口学信息、吸烟、饮酒、睡眠质量和慢性病患病情况,计算慢性病患病率,采用第七次全国人口普查数据进行标化;采用多因素logistic回归模型分析慢性病患病的影响因素。结果有效调查9469人,男性4678人,占49.40%;女性4791人,占50.60%。年龄为(59.37±14.14)岁。患慢性病4814例,患病率为50.84%,标化患病率为38.44%。高血压、椎间盘疾病和糖尿病患病率较高,分别为18.66%、6.31%和4.44%,标化患病率分别为15.06%、5.28%和4.18%。多因素logistic回归分析结果显示,女性(OR=1.252,95%CI:1.131~1.386)、年龄(45岁~,OR=3.699,95%CI:3.104~4.407;≥60岁,OR=9.255,95%CI:7.743~11.064)、未婚/离异/丧偶(OR=1.170,95%CI:1.036~1.321)、文化程度(初中,OR=0.730,95%CI:0.653~0.816;高中/中专,OR=0.710,95%CI:0.609~0.827;大专及以上,OR=0.586,95%CI:0.454~0.758)、家庭月收入(3000元~,OR=0.846,95%CI:0.759~0.943;6000元~,OR=0.819,95%CI:0.710~0.943;≥10000元,OR=0.790,95%CI:0.657~0.950)、吸烟(OR=1.528,95%CI:1.363~1.713)、失眠(OR=2.637,95%CI:2.271~3.063)与患慢性病有统计学关联。结论湖南省成年居民慢性病患病率为50.84%,以高血压为主,女性、中老年人、低文化程度、低收入人群慢性病患病风险较高。
Objective To investigate the prevalence and influencing factors of chronic diseases among adult residents in Hunan Province,so as to provide insights into management of chronic diseases.Methods Permanent residents at ages of 18 years and older were sampled using a multi-stage random sampling method in Hunan Province from April to June,2021,and participants'demographics,smoking,alcohol consumption,sleep quality and development of chronic dis⁃eases were collected using questionnaire surveys.The prevalence of chronic diseases was estimated and standardized by the seventh national population census data.In addition,the factors affecting the prevalence of chronic diseases were identified using a multivariable logistic regression model.Results A total of qualified 9469 adult residents were en⁃rolled,including 4678 men(49.40%)and 4791 women(50.60%),with a mean age of(59.37±14.14)years.The over⁃all prevalence and standardized prevalence rates of chronic diseases were 50.84%and 38.44%,respectively,and the prevalence and standardized prevalence rates of hypertension,protrusion of intervertebral disc and diabetes were 18.66%and 15.06%,6.31%and 5.28%,and 4.44%and 4.18%,respectively.Multivariable logistic regression analysis revealed that women(OR=1.252,95%CI:1.131-1.386),age(45 years-,OR=3.699,95%CI:3.104-4.407;60 years and older,OR=9.255,95%CI:7.743-11.064),unmarried/divorced/widowed(OR=1.170,95%CI:1.036-1.321),educational level(junior high school,OR=0.730,95%CI:0.653-0.816;high school/technical secondary school,OR=0.710,95%CI:0.609-0.827;di⁃ploma and above,OR=0.586,95%CI:0.454-0.758),monthly household income(3000 yuan-,OR=0.846,95%CI:0.759-0.943;6000 yuan-,OR=0.819,95%CI:0.710-0.943;10000 yuan and higher,OR=0.790,95%CI:0.657-0.950),smok⁃ing(OR=1.528,95%CI:1.363-1.713),insomnia(OR=2.637,95%CI:2.271-3.063)statistically correlated with the develop⁃ment of chronic diseases.Conclusion The prevalence of chronic diseases was 50.84%among adult residents in Hunan Province in 2021,and hypertension was the predominant ch
作者
伍甜甜
朱娥
虞建英
王东欣
罗邦安
王敏
WU Tiantian;ZHU E;YU Jianying;WANG Dongxin;LUO Bang'an;WANG Min(School of Nursing,Hunan University of Chinese Medicine,Changsha,Hunan 410208,China;Hunan Brain Hospital(The Second People's Hospital of Hunan Province),Changsha,Hunan 410007,China)
出处
《预防医学》
2022年第11期1145-1149,1155,共6页
CHINA PREVENTIVE MEDICINE JOURNAL
基金
湖南省卫健委适宜技术推广项目(WZ2020-18)
湖南省财政厅项目(2015-122)
湖南省卫健委项目(D202314057443)。
关键词
慢性病
患病率
影响因素
chronic diseases
prevalence
influencing factor
