北京市海淀区胃食管反流病城乡对比分析

A Comparison of Gastroesophageal Reflux Disease between Urban and Rural Areas in Haidian District of Beijing

目的调查北京市海淀区胃食管反流病(GERD)的城乡患病率,比较GERD的城乡差异,作为制定干预措施的依据。方法采用多阶段分层整群抽样方法,GERD问卷(reflux disease questionnaire,RDQ)对北京市海淀区城区和农村地区2502名成年人群进行调查,使用SPSS16.0软件进行统计分析,用mantel-haenszel分层分析和χ2检验进行统计检验。结果北京市海淀区成年人群GERD患病率为8.27%,其中城区患病率为7.87%,农村地区为11.18%,农村高于城市,差异有统计学意义(χ2=3.86,P<0.05)。城市地区感觉生活压力大者GERD患病率高于感觉生活压力小者,差异有统计学意义(χ2=8.52,P=0.001),农村地区感觉生活压力大者GERD患病率也高于感觉生活压力小者,但差异无统计学意义(P>0.05)。城市地区,精神状态差者GERD患病率高于精神状态好者,差异有统计学意义(χ2=17.57,P=0.001)。在控制了性别、饮酒、年龄、体质量、生活压力后,经mantel-haenszel分层分析,农村地区GERD患病率仍高于城市地区(OR值分别为1.501、1.462、1.548、1.490、1.946,P<0.10)。结论农村地区人口GERD患病率较城市人口高,城市和农村人口都存在一定的不良生活习惯,应及时采取相应的干预措施。

Objective To investigate the morbidities of gastro - esophageal reflux disease （GERD） in urban and rural areas in Haidian district of Beijing so as to provide an evidence for making intervening policies. Methods Totally 2 502 residents from urban and rural areas of Haidian district in Beijing were selected by using multi - stage stratified duster sampling, and questionnaire survey was used to obtain the information on GERD. SPSS 16.0 was used to eonduet Mantel - Hansel stratified a- nalysis and Chi - square test. Results The morbidity of GERD in adult group of Haidian was 8.27%. And it was 7. 87% in the urban area and 11.18% in the rural area, the difference showed statistical significance （χ^2 = 3. 86, P 〈 0. 05）. The morbidity of GERD was higher in people with a sensation of higher life stress than those with a sensation of lower life stress in the urban area, with a significant difference （ χ^2 = 8.52, P = 0. 001 ）. And so was in the rural area, but with no significant difference （ P 〉 0. 05 ）. The morbidity of GERD was higher in people with poorer mental status than those with better mental status in the urban area （χ^2 = 17.57, P =0. 001 ）. After controlling for gender, drinking, age, body weight and life pressure, the morbidity of GERD in the rural area was still higher than in the urban area through Mantel - Hansel stratified analysis （ OR = 1. 501, 1. 462, 1. 548, 1. 490, 1. 946, P 〈 0. 10）. Conclusion The morbidity of GERD in rural are is still higher than in urban area, People in both areas have certain bad life habits, which should be timely intervened.