广东省农民工多重慢性非传染性疾病患病现状分析

The prevalence of multimorbidity and its influencing factors among migrant workers in Guangdong Province

目的了解广东省农民工慢性非传染性疾病(慢性病)患病现状,为农民工慢性病及多重慢性病的防治与管理提供科学依据。方法收集2020年8—12月广东省工人医院13505名农民工体检报告数据,以流动体检车的形式进行免费上门体检服务,收集并整理参与者的一般情况,分析不同性别、年龄人群的慢性病患病情况。结果13505名研究对象中,慢性病总患病率71.53%,其中血脂异常患病率57.64%、高血压27.02%、高尿酸17.29%、高血糖11.43%、慢性鼻炎2.63%、慢性结膜炎1.36%、慢性咽炎0.87%、其他疾病为0.70%。多重慢性病患病率34.72%,二元疾病组合患病率前6位:血脂异常+高血压2619例(19.39%)、血脂异常+高尿酸1676例(12.41%)、血脂异常+高血糖1207例(8.94%)、高血压+高尿酸830例(6.15%)、高血压+高血糖790例(5.85%)、高尿酸+高血糖309例(2.29%)。不同年龄、性别的多重患病率差异有统计学意义(χ^(2)=370.935、644.048,P<0.05)。结论广东省农民工多重慢性病患病率较高,应针对多重慢性病的常见疾病组合和流行特征进行有效地管理与防治。

Objective To understand the prevalence of non-communicable diseases(NCDs)and multimorbidity among migrant workers in Guangdong Province,so as to provide scientific evidence for the prevention and management of multimorbidity in this population.Methods The check-up reports of 13505 migrant workers in the period from August to December 2020 were collected from Guangdong Workers'Hospital,which provided free door-to-door check-up for workers with a mobile physical examination vehicle.The basic information,such as sex and age,of the migrant workers were collected and prevalence of multimorbidity by sex and age was analyzed.Results The prevalence of NCDs was 71.53%among the 13505 subjects,including dyslipidemia(57.64%),hypertension(27.02%),hyperuricemia(17.29%),hyperglycemia(11.43%),chronic rhinitis(2.63%),chronic conjunctivitis(1.36%),chronic pharyngitis(0.87%),and other diseases(0.70%).The prevalence of multimorbidity was 34.72%,and the top six most common combinations of two chronic diseases were dyslipidemia+hypertension(2619 cases,19.39%),dyslipidemia+hyperuricemia(1676 cases,12.41%),dyslipidemia+hyperglycemia(1207 cases,8.94%),hypertension+hyperuricemia(830 cases,6.15%),hypertension+hyperglycemia(790 cases,5.85%),and hyperuricemia+hyperglycemia(309 cases,2.29%).The differences in prevalence of multimorbidity across different age and sex groups were statistically significant(χ^(2)=370.935,644.048,P<0.05).Conclusions The prevalence of multimorbidity among migrant workers in Guangdong Province is considerably high.Effective management and prevention measures should be implemented by taking consideration of epidemic characteristics and common disease combinations of multimorbidity.