2004年新疆生产建设兵团城市与农场居民慢性病患病情况分析

Analysis on status of urban and rural residents with chronic diseases in xinjing production and construction corps

目的:分析兵团城市和农场居民的健康状况及卫生服务需要量。方法:采取多阶段分层、整群抽样的方法,对4 469户,13 126人进行家庭入户健康询问调查。结果:兵团居民的慢性病患病率为370.8‰,其中城市为465.8‰,农场为333.7‰,经统计学检验χ2=198.142,P=0.000,城乡居民慢性病患病率差异有统计学意义。兵团城市居民系统别慢性病患病率前五位依次是循环系统疾病(186.2‰)、肌肉骨骼系统疾病(78.4‰)、消化系统疾病(63.8‰)、内分泌、营养、代谢疾病(39.1‰)、呼吸系统疾病(36.6‰)3农场前五位依次是循环系统疾病(96.2‰)、肌肉骨骼系统疾病(71.1‰)、消化系统疾病(60.4‰)、呼吸系统疾病(29.8‰)、内分泌、营养、代谢疾病(16.0‰)。兵团城市居民疾病别慢性病患病率前5位的分别是高血压病(80.9‰)、糖尿病(32.8‰)、类风湿性关节炎(29.6‰)、急慢性胃肠炎(27.4‰)、冠心病(24.7‰);农场前五位依次为高血压病(41.6‰)、类风湿性关节炎(32.‰)、急慢性胃肠炎(29.9‰)、胆结石胆囊炎(15.3‰)、糖尿病(12.2‰)、椎间盘疾病(8.8‰)。结论:与1998年相比兵团城乡居民慢性疾病患病率上升迅速,老龄化和人们生活方式改变是导致慢性疾病上升的原因,慢性病已成为兵团疾病防治中的重要公共卫生问题,健康教育刻不容缓。

Objective：The paper reflected health lever and health services need of the residents d xinjiang corps by the indexes of chronic morbidity rate..Methods： Ouster sampling on various stages and strata method was adopted. 13 126 persons were interviewed and their houses visited for this purpose.Rusults：Prevalenoce rate of chronic disease was 370.8‰ in xinjiang crops,the rate of urban dwellers was 465.8‰,and that of rurral residents was 333.7‰,In cow,the difference between the rate d urban and rural residents was statistically remarkable. In urban areas,the rate d suffering circulative system disease took the first position （186.29‰） ,then the rate of suffering muscle and skelecton system disease（78.4‰）,digestive syslem disease（63.8‰）,endocrine, nutrition and metabolism disease（39.1‰）, respiratory system disease（36.6‰）; however, in rural areas, the rates as followed： circulative syslem disease（96.2‰）, muscle and skelecton system disease（71.1‰ ）, digestive syslem disease（60.4‰ ）, respiratory system disease （29.8‰）, endocrine, nutrition and metabolism disease（16.0‰）. In urban areas, the first chronic diseases with the highest proportion to he sulfered were high blood- pressure（80.9‰）, diabetes（32.8‰）, rheumatoid arthritis（29.6‰）,acute and chronic gastroenteritis（27.4‰）, coronary heart disease（24.7‰）, in rural areas, the rates, the first five chronic disease with the highest proportion to be suffere were high blood- pressure（41 .6%） ,rheumatoid arthritis（32.0‰） ,acute and chronic gastroenteritis （29.9‰）,cholecyst disease（15.3‰）, diabetes（12.2‰）,disease （8.8‰）. Conclusion： Compared with the results of first health service survey in 1998,thc Prevalence rate of chronic diseases has increased obviously in corps,aging d population and changing of life style are main reason, chronic disease have became an important public health problem in corps. We have no time to delay on health education.