摘要
目的 分析2012-2022年福建省厦门市慢性病综合防控示范区的建设效果,为慢性病防控提供依据。方法 将厦门市2012-2016年的慢性病综合防控示范区全覆盖建设期定义为T_(1)期,2017-2022年的巩固提升期定义为T_(2)期。采用比例分层随机抽样的方法,从厦门市六个区慢性病及社会影响因素状况调查数据库中收集厦门市居民的慢性病及危险因素数据,T_(1)期抽取调查对象20 535名,T_(2)期抽取调查对象22 289名。分析T_(1)期、T_(2)期厦门市居民的主要慢性病患病率及危险因素变化趋势。结果 T_(1)期、T_(2)期厦门市居民的高血压患病率分别为16.51%(3 391/20 535)、15.35%(3 422/22 289),糖尿病患病率分别为6.24%(1 281/20 535)、4.30%(959/22 289),高胆固醇血症患病率分别为5.54%(1 138/20 535)、10.45%(2 329/22 289),肥胖患病率分别为9.09%(1 867/20 535)、10.04%(2 239/22 289)。与T_(1)期相比,T_(2)期居民的高血压、糖尿病患病率降低(χ^(2)值分别为10.758、80.776,P<0.001),高胆固醇血症和肥胖患病率升高(χ^(2)值分别为345.93、11.21,P<0.001),缺乏体育锻炼占比下降(χ^(2)=68.21,P<0.001),每天食盐摄入量、每天油脂摄入量下降(χ^(2)=81.17,P<0.001),慢性病高危人群标准知晓率上升(χ^(2)=32.11,P<0.001)。结论 实施慢性病综合防控示范区建设以来,厦门市居民主要慢性病患病率下降,危险因素干预效果明显,仍需对高胆固醇血症、肥胖及男性人群加强慢性病管理。
Objective To evaluate the effectiveness of the demonstration areas for comprehensive prevention and control of non-communicable diseases(NCDs)in Xiamen city,so as to provide a basis for chronic disease prevention and control.Methods The period of creation of the demonstration areas for comprehensive prevention and control of NCDs in Xiamen city from 2012-2016was defined as T_(1)period,and the period of improvement from 2017-2022was defined as T_(2) period.Proportionate stratified random sampling was used to collect data on chronic diseases and risk factors of Xiamen residents from the database of the Survey of Chronic Diseases and the Status of Social Influencing Factors in 6districts of Xiamen city,with 20535respondents sampled in T_(1)period and 22289respondents sampled in T_(2)period.Trends in the prevalence of major chronic diseases and risk factors among Xiamen residents were analysed in the T_(1)and T_(2)periods.Results The prevalence rates of hypertension in Xiamen residents in T_(1)and T_(2)periods were 16.51%(3391/20535)and 15.35%(3422/22289)respectively,the prevalence rates of diabetes were 6.24%(1281/20535)and 4.30%(959/22289)respectively,the prevalence rates of hypercholesterolemia were 5.54%(1138/20535)and 10.45%(2329/22289)respectively,and the prevalence rates of obesity were 9.09%(1867/20535)and 10.04%(2239/22289)respectively.Compared with T_(1),the prevalence of hypertension and diabetes in T_(2)residents decreased(χ^(2)=10.758,80.776,P<0.001),the prevalence of hypercholesterolemia and obesity increased(χ^(2)=345.93,11.21,P<0.001),the proportion of lack of physical exercise decreased(χ^(2)=68.21,P<0.001),the daily intake of salt and oil decreased(χ^(2)=81.17,P<0.001),and the awareness rate of the standard of high-risk groups of chronic diseases increased(χ^(2)=32.11,P<0.001).Conclusion Since the implementation of the comprehensive prevention and control demonstration zone for NCDs,the prevalence of major chronic diseases among residents in Xiamen city has decreased,however,there was still a n
作者
申锦玉
陈德彬
SHEN Jin-yu;CHEN De-bin(Chronic Disease Prevention and Control Department,Xiamen City Centre for Disease Control and Prevention,Fujian 361021,China)
出处
《预防医学论坛》
2024年第4期282-285,共4页
Preventive Medicine Tribune
关键词
慢性病
综合防控
示范区
健康管理
Non-communicable diseases
Comprehensive prevention and control
The demonstration areas
Health management
