上海市奉贤区慢性病及其危险因素监测

Monitoring of chronic diseases and its risk factors in Fengxian District of Shanghai

目的了解2017年上海市奉贤区居民主要慢性非传染性疾病相关危险因素的流行状况和变化趋势,为评价奉贤区慢性病干预效果及制订相关政策提供科学参考依据。方法2017年10—12月,采用多阶段分层整群抽样的方法,运用问卷调查、身体测量及实验室检测,调查上海市奉贤区主要慢性疾病患病情况及危险因素的分布情况,患病率按第六次人口普查数据进行标化。结果2017年上海市奉贤区≥18岁居民高血压标化患病率为24.9%(标化前56.4%),糖尿病血糖升高标化患病率为5.2%(标化前13.0%),血脂异常标化患病率为27.4%(标化前29.5%),标化超重率为34.1%(标化前42.9%),标化肥胖率为14.1%(标化前12.3%),标化中心性肥胖率为33.3%(标化前44.2%);男性标化吸烟率为54.4%(标化前62.8%),男性标化30天内饮酒率为21.9%(标化前38.7%)。结论2017年上海市奉贤区主要慢性病仍处于较高流行水平,需要针对不同人群加强慢性病健康管理,并对相应危险因素进行综合干预。

Objective To understand the epidemic situation and change trend of risk factors related to major chronic noncommunicable diseases among residents in Fengxian District of Shanghai in 2017,provide scientific basis for the evaluation of the effect of chronic disease intervention and the formulation of relevant policies in Fengxian District.Methods From October to December 2017,by using the multi-stage stratified cluster sampling method,questionnaire survey,physical measurement and laboratory testing were performed to investigate the prevalence of major chronic diseases and the distribution of risk factors in Fengxian District of Shanghai.The prevalence was standardized according to the sixth census data.Results In 2017,the standardized prevalence of hypertension among residents≥18 years old in Fengxian District of Shanghai was 24.9%(56.4%before stan-dardization),the standardized prevalence of diabetes and hyperglycemia was 5.2%(13.0%before standardization),the stan-dardized prevalence of dyslipidemia was 27.4%(29.5%before standardization),the standardized prevalence of overweight was 34.1%(42.9%before standardization),the standardized prevalence of obesity was 14.1%(12.3%before standardization),the sta-ndardized prevalence of central obesity was 33.3%(44.2%before standardization),the standardized prevalence of smoking in males was 54.4%(62.8%before standardization),and the standardized prevalence of drinking within 30 days in males was 21.9%(38.7%before standardization).Conclusion The epidemic of main chronic diseases in Fengxian District of Shanghai are still at a high level in 2017.It is necessary to strengthen the health management of chronic diseases for different groups of people,and make a comprehensive intervention according to the corresponding risk factors.