河南省居民慢性病患病情况及社会学多因素Logistic分析

The prevalent status and logistic analysis of social multi-factors on chronic disease of residents in Henan

目的 :探讨河南省居民慢性病患病现状及其影响因素。方法 :采用随机分层抽样方法抽取河南省 30 0 0名居民 ,应用世界卫生组织制定的调查表进行问卷调查。结果 :4 6 .4 %的调查对象未患任何一种慢性病 ,患 1种、2种、3种及以上慢性病的分别为 2 6 .9%、13.2 %和 2 3.5 % ,总慢性病例次患病率达 10 7.7% ,城市为 119.8% ,农村为10 1.2 % ,男性为 116 .0 1% ,女性为 12 4 .2 8% ,前 4位依次为视力问题、胃炎或胃溃疡、压抑或焦虑和背痛或椎间盘问题。多因素Logistic回归分析显示性别、年龄、职业、医疗支出是慢性病的主要社会学影响因素。结论 :河南省居民慢性病患病率处于高水平 ,慢性病预防控制策略和措施亟待加强 ,应更加关注女性、老年人、失业者。

Aim: To study the prevalent status of chronic disease and the epidemic characteristic of influenced factors in Henan Province. Methods: Cluster, stratified and multistage sampling was taken.3 000 residents were assigned to fill in the questionnaires designed by WHO.Results: 46.4% of the residents had no chronic disease.26.9%,13.2%,and 23.5% had one, two, and more than two chronic diseases, respectively. The total prevalence rate was 107.7% with 119.8% in city and 101.2% in county. The total prevalence rates of male and female were 116.01% and 124.28%, respectively. The sequence of prevalence rate of chronic disease was eyesight problem,gastritis or gastric ulcer,oppression or anxiety, and backache. Multiple logistic regression analysis showed that age, sex, occupation, and medical expenditure were main social factors affecting prevalence rate of chronic disease.Conclusion:The level of chronic disease in Henan is very high, countermeasure for preventing from these diseases should be strengthened and the elder, the female and the unemployed should be paid much more attention for prevention of these diseases.