2007年利津县农村居民慢性非传染性疾病流行特征及影响因素分析

A Cross-sectional Study on Non-communicable Disease in Lijin County in 2007

[目的]摸清利津县农村居民慢性病流行特征，以便制订相应预防控制政策。[方法]2007年3～6月，在利津县抽取部分20岁以上农村居民进行调查。[结果]调查15210人，慢性病总患病率为11．58％。慢性病总患病率，男性为11．28％，女性为11．86％（P〉0．05）；20～39岁为1．78％，40～59岁为9．79％，60岁以上为30．47％（P〈0．01）。调查人群高血压、脑卒中、恶性肿瘤、冠心病、糖尿病患病率分别为6．10％、1．33％、1．12％、0．91％和0．72％。多因素Logistic回归分析显示，与主要慢性病发病相关的因素有性别、年龄大、长期家庭关系紧张、吸烟、过量饮酒、超重、家族史，年龄是其共有的因素。[结论]高血压、脑卒中、恶性肿瘤、冠心病和糖尿病是利津县农村居民的主要慢性病，慢性病的发生与多种因素有关。

[Objective]In order to understand epidemic status of Non-communicable disease（NCD）in Lijin County, and to provide the scientific foundation for NCD prevention and control in Lijin. [Methods]Investigation was conducted for 15 210 persons aged over 20 selected from rural areas in Lijing county from March to June,2006.[Results]Of the 15 210 persons investigated,the prevalence rate of NCD was 11.58%. Male accounted for 11.28% and female accounted for 11.86% （ P〉0.05）. People aged from 20 to 39 accounted for 1.78% ,aged from 40 to 59 accounted for 9.79% and aged over 60 accounted for 30.47 % （ P d0.01）. The prevalence rate of hypertension, cerebral-vascular diseases,malignant tumor, coronary heart disease and diabetes mellitus was 6.10 %, 1.33 %, 1.12 %,0.91% and 0.72 % respectively. There were all uptendency with the increasing age（ P〈0.05）. Single variable and multiple variables analysis showed that NCD were associated with gender, elder age,long time tension in the family, smoking,drinking,overweight and family history. [Conclusion] Hypertension,cerebral-vascular diseases, malignant tumor, coronary heart disease and diabetes mellitus were the main NCD in Lijin County. The causes of NCD were associated with many factors.