摘要
目的了解台州市≥45岁体检人群常见慢性健康问题及多病共存现状及相关因素。方法采用横断面研究,收集2021年1月至12月在台州市椒江区某街道卫生服务中心参加体检的≥45岁人群资料,采用χ^(2)检验、t检验、方差分析了解其常见慢性健康问题及危险因素分布现状,利用有序logistic回归分析模型分析多病共存相关因素。结果共纳入13020名研究对象,慢性健康问题总体检出率为93.07%,包括高血压(58.22%)、脂肪肝(41.31%)、肾功能异常(34.55%)、心电图异常(31.80%)、血脂异常(23.47%)、肝功能异常(20.60%)、糖尿病(13.45%)、贫血(10.43%),研究对象5种健康危险因素为缺乏锻炼(77.26%)、饮食不均衡(71.27%)、中心性肥胖(55.98%)、吸烟(32.84%)和饮酒(32.28%)。71.87%的研究对象存在多病共存。高血压、脂肪肝、肾功能异常及血脂异常是多病共存主要组分。有序logistic回归分析模型分析结果提示年龄每增长1岁(aOR=1.010,95%CI:1.006~1.014,P<0.001)、女性(aOR=1.396,95%CI:1.291~1.510,P<0.001)、健康危险因素聚集2种(aOR=1.169,95%CI:1.054~1.295,P=0.003)、健康危险因素聚集3种(aOR=1.561,95%CI:1.409~1.730,P<0.001)及健康危险因素聚集4种及以上(aOR=1.887,95%CI:1.668~2.134,P<0.001),均有可能导致多病共存风险增加。结论台州市≥45岁体检人群健康危险因素聚集情况普遍,多病共存居于较高水平。高龄、女性及多重行为习惯危险因素可能增加多病共存风险,需要完善相关政策。
Objective To investigate the distribution characteristics and risk factors of common chronic health conditions and multiple chronic conditions(MCCs)among the physical examination population aged≥45 years in Taizhou City.Methods Based on a cross-sectional study,the health records of people aged≥45 years who participated in routine health examination at a community health service center in a District of Taizhou city from January to December 2021 were collected.Chi-square test,t test and variance analysis were used to analyze the distribution of chronic health conditions and related health risk factors.Ordered logistic regression was used to analyze the co-existing factors of MCCs.Results A total of 13020 subjects were included in the study.The overall detection rate of chronic health conditions was 93.07%,with the following rates:hypertension(58.22%),fatty liver(41.31%),abnormal renal function(34.55%),abnormal electrocardiogram(31.80%),dyslipidemia(23.47%),abnormal liver function(20.60%),diabetes(13.45%),and anemia(10.43%).The study identified five chronic disease-related risk factors among the subjects,including lack of exercise(77.26%),unbalanced diet(71.27%),central obesity(55.98%),smoking(32.84%)and alcohol consumption(32.28%).71.87%of the subjects had MCCs,with hypertension,fatty liver,abnormal renal function,and dyslipidemia being the main components.The results of ordered logistic regression indicated that for each year of age increase(aOR=1.010,95%CI:1.006-1.014,P<0.001),females(aOR=1.396,95%CI:1.291-1.510,P<0.001)and the presence of 2(aOR=1.169,95%CI:1.054-1.295,P=0.003),3(aOR=1.561,95%CI:1.409-1.730,P<0.001)and 4 or more(aOR=1.887,95%CI:1.668-2.134,P<0.001)health risk factors were associated with an increased risk of MCCs.Conclusions The aggregation of health risk factors is common in the physical examination population aged≥45 years in Taizhou City,and the prevalence of multiple chronic conditions is notably high.Advanced age,female gender,and the presence of multiple risk health factors may signif
作者
梁欣悦
陈潇潇
王良友
王婷婷
汪剡灵
谢亚莉
林海江
何纳
LIANG Xinyue;CHEN Xiaoxiao;WANG Liangyou;WANG Tingting;WANG Shanling;XIE Yali;LIN Haijiang;HE Na(Department of Epidemiology,Key Laboratory of Public Health Safety of Ministry of Education,School of Public Health,Fudan University,Shanghai 200032,China;Taizhou City Center for Disease Control and Prevention,Taizhou 318000,China)
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2024年第2期233-240,共8页
Chinese Journal of Disease Control & Prevention
基金
台州市高层次人才特殊支持计划(TZ2022-2)。
关键词
慢性健康问题
多病共存
流行病学
Chronic health conditions
Multiple chronic conditions
Epidemiology
