2008年石家庄市居民主要慢性病现状调查

Investigation on Prevalence of Several Common Chronic Diseases among Residents in Shijiazhuang in 2008

目的了解2008年石家庄市居民主要慢性病患病现状,为制定慢性病防治策略提供科学依据。方法采用分层整群随机抽样方法抽取石家庄市23个县(市)、区中抽取的9个县(市)区的7 668名15～69岁常住居民。调查方法包括问卷调查、体格测量和实验室检测。结果主要慢性病患病率由高到低依次为:高血压(27.2%)、颈、腰、背及骨关节疾病(19.3%)、消化系统疾病(8.6%)、糖尿病(8.0%)、心血管疾病(5.0%)、慢性阻塞性肺部疾病(2.6%)、脑血管疾病(2.3%)、恶性肿瘤(0.34%);除恶性肿瘤外,在不同职业间各种慢性病患病率差别均有统计学意义(P<0.01);慢性病患病率均随年龄增加呈上升趋势(P<0.01)。女性心血管疾病(5.8%)和颈、腰、背及骨关节疾病患病率(22.7%)高于男性(4.1%和15.4%,P<0.01)。除糖尿病、脑血管疾病外,高血压、心血管疾病、恶性肿瘤、慢性阻塞性肺部疾病、颈、腰、背及骨关节疾病和消化系统疾病的患病率均为城市高于农村(P<0.05)。高血压病知晓率为39.2%,治疗率为8.4%,控制率为1.0%,城市居民知晓率(58.1%)高于农村(35.2%,P<0.01),但治疗率(15.2%)低于农村(23.7%,P<0.05),控制率(2.4%)与农村(2.7%)比较,差别无统计学意义(P>0.05);糖尿病知晓率为51.3%,治疗率为27.3%,控制率为6.7%。城市居民知晓率(62.6%)高于农村(47.8%,P<0.05),但治疗率(75.4%)低于农村(90.6%,P<0.01),控制率(26.3%)与农村(18.8%)比较,差别无统计学意义(P>0.05)。结论石家庄市居民慢性病患病率较高,应引起相关部门的重视。

Objective To study the prevalence of several common chronic diseases among 15-69 years old adult in Shijiazhuang of 2008, and provide reliable evidence for the control of chronic diseases. Methods With random stratified sampling, 7 668 residents aged 15-69 yrs were selected from 9 districts of Shijiazhuang. Each participant was invited to receive a set of standardized questionnaire, physical examination and laboratory tests. Results The prevalent rate of hypertension was the highest in all the chronic diseases. Except for malignant tumor, the prevalence of all the chronic diseases was different in occupation. Several common chronic diseases increased with the age（P〈0.01）. The prevalence rate of cardiovascular disease and neck, waist, back and bony joint disease were higher in female than in male（P〈0.01）. Exeept for diabetes mellitus and eerebrovascular disease, all the chronic diseases had higher prevalence rate in urban area than in rural area （P〈0.05）. Data showed that the awareness, treatment and the rate of control on hypertension were 39.2%, 8.4% and 1.0%, and on diabetes mellitus were 51.3%, 27.3% and 6.7%. Conclusion The prevalent rates of chronie diseases of the adults were in higher levels. The relevant department should pay more attention to it.