摘要
目的了解株洲市芦淞区城区居民慢性病及相关危险因素的流行状况,为制定和评价慢性病防制措施提供参考。方法采取多阶段分层整群抽样的方法,在12个监测村(社区)随机抽取600户,用户用KISH表法随机抽取1名18岁及以上居民进行调查,调查采取问卷调查,身体测量与实验室检测的方法。结果调查居民600人,男性242人,女性358人,监测人群中高血压、血脂异常、糖尿病、COPD、心肌梗死、脑卒中、哮喘、恶性肿瘤、超重、肥胖的患病率分别为34.7%、34.3%、22.3%、6.3%、3.5%、2.7%、2.2%、2.0%、28.1%和14.1%。多因素非条件Logistic回归分析提示:高血压的危险因素有职业(OR=1.122)、活动(OR=1.778)、水果摄入(OR=2.295)、腹型肥胖(OR=1.987)、体质指数(OR=1.633),95%CI分别为1.066~1.180、1.120~2.822、1.082~4.866、1.145~3.449、1.166~2.287;血脂异常的危险因素有吸烟(OR=2.168)、水果摄入(OR=2.637)、体质指数(OR=1.628),95%CI分别为1.449~3.246、1.236~5.626、1.179~2.247;糖尿病的危险因素有体质指数(OR=1.749)、职业(OR=1.119)、婚姻状况(OR=1.339)、文化程度(OR=0.818),95%CI分别为1.198~2.554、1.055~1.188、1.060~1.693、0.696~0.960。结论高血压、血脂异常、糖尿病和肥胖等慢性病及其危险行为因素严重影响着该城区居民的健康,应积极开展健康行为教育,预防慢性病的发生。
Objective To understand the epidemic situation of chronic disease among adult residents and the related risk factors in urban areas of Lusong District of Zhuzhou,and provide the references for the development and evaluation of chronic diseases prevention strategies. Methods By multistage stratified cluster sampling method,600 households were selected from 12 towns in Lusong by random method. Then,according to KISH table method,1 family member aged 18 and over in the household was investigated. The questionnaire, physical examination and laboratory detection were carried out. Results The number of surveyed residents were 600,including male 242 and female 358. The prevalence rate of hypertension,dyslipidemia,diabetes,chronic obstructive pulmonary disease, myocardial infarction, stroke, asthma, malignant tumors,overweight and obesity were 34. 7%,34. 3%,22. 3%,6. 3%,3. 5%,2. 7%,2. 2%,2. 0%,28. 1%and 14. 1%,respectively. Non-conditional logistic regression analysis showed that: risk factors of hypertension were occupation( OR = 1. 122,95% CI: 1. 066-1. 180),activity( OR = 1. 778,95% CI: 1. 120-2. 822),fruit intake( OR =2. 295,95% CI: 1. 082-4. 866),abdominal obesity( OR = 1. 987,95% CI: 1. 145-3. 449) and body mass index( OR = 1. 633,95% CI: 1. 166-2. 287),respectively. The risk factors of dyslipidemia were smoking( OR = 2. 168,95% CI: 1. 449-3. 246),fruit intake( OR = 2. 637,95% CI: 1. 236-5. 626) and body mass index( OR = 1. 628,95% CI: 1. 179-2. 247), respectively. The risk factors of diabetes were body mass index( OR = 1. 749,95% CI:1. 198-2. 554),occupation( OR = 1. 119,95% CI: 1. 055-1. 188),marital status( OR = 1. 339,95% CI: 1. 060-1. 693),educational level( OR = 0. 818,95% CI: 0. 696-0. 960),respectively. Conclusion With the hypertension,dyslipidemia,diabetes and obesity and other chronic diseases and their risk factors seriously affect the health of urban residents,health behavior education should be carried out to prevent the chronic disease actively.
出处
《中国健康教育》
北大核心
2015年第10期934-939,共6页
Chinese Journal of Health Education
