河南省城市社区慢病综合防治试点职业管理人群慢病干预效果分析

ANALYSIS OF NCD INTERVENTION EFFECT ON OCCUPATIONAL HIGHER-RANKING ADMINISTRATORS IN THE HENAN PROVINCIAL CITY TRIAL BASE OF COMMUNITY-BASED NCD INTEGRATED CONTROL AND PREVENTION

[目的]了解河南省城市社区慢病综合防治试点经过3年的社区综合干预之后,社区中职业管理人群健康状况的改善情况,为及时针对性调整慢病综合防治策略提供科学依据。[方法]采用普查的方法,对社区中某运输总公司所有中高层管理人员进行医学检查,并动态观察其变化趋势,收集分析2003年以来连续4年的医学检查资料。[结果]在消除性别、年龄因素的影响后,不同年度的空腹血糖、舒张压、总胆固醇、甘油三酯水平差异有统计学意义并呈逐年下降趋势。各年度高血糖、血压异常的比例亦呈现下降趋势。建立logistic回归模型,性别不同,血压异常的发生概率不同,年龄、肥胖、血脂异常是影响这一目标人群血压异常的主要危险因素。[结论]该职业管理人群的健康状况有所改善,针对该群体的慢病综合防治干预措施是切实可行且初显成效的,但血压异常、高血糖、肥胖、血脂异常仍然是该目标人群的主要健康问题,今后应继续加强以健康教育与健康促进为主要手段的慢病综合防治社区干预。

[Objective] To investigate the health status of higher-ranking administrators among occupational population after community intervention implemented in the Henan provincial city trial base of community-based NCD integrated control and prevention, and to provide scientific evidences for timely adjusting the strategies for NCD integrated control and prevention. [ Methods] By the method of census, all higher-ranking administrators in one transport company in community were given medical examination and the dynamic change trend were observed. The date of medical examination in recent four years since 2003 were collected and analyzed. [Results] After eliminating the influences of age and gender, there were significant differences among different years in the levels of FBG, DBP, TC and TG, which all declined gradually. The descending tendency was also reported in the prevalence of abnormal blood pressure and that of FBG over standard criterion. Logistic regression analysis showed that the incidence probability of abnormal blood pressure was significantly different between male and ferule; age, obesity and abnormal levels of blood fat were also the main risk factors related to the prevalence of abnormal blood pressure in objective population. [ Conclusions ] The health status of higher-ranking administrators in the company has been improved in some degree and the intervention strategies are effective primarily, but overweight, obesity, abnormal blood pressure and higher FBG are still major health issues of the population. Therefore, comprehensive community intervention by health education and health promotion should be strengthened successively.