乌鲁木齐市天山区60岁及以上老年人7种慢性病患病现状调查

Survey on 7 chronic disease in the aged people of 60 and above in Urumqi Tianshan region

目的了解乌鲁木齐市天山区60岁及以上老年人慢性病患病情况以及相关危险因素,为制定符合当地实情的社区老年人慢性病防治措施提供依据。方法采用自编问卷对天山区840例60岁及以上的老年人进行7种慢性病患病现状及相关因素调查,并进行多因素的Logistic回归分析。结果被调查老年人慢性病的患病率为78.1%;7种慢性病患病顺位依次为:高血压(59.6%)、冠心病(37.9%)、糖尿病(24.6%)、慢性阻塞性肺疾病(21.8%)、脑卒中(4.1%)、恶性肿瘤(1.3%)、哮喘(1.0%);不同文化程度的老年人慢性病患病率差异有统计学意义(P<0.05),其中小学及以下文化程度的老年人慢性病的患病率最高;不同性别、不同年龄段、不同民族老年人慢性病的患病率差异无统计学意义;有28.5%的老年人患2种慢性病,有19.1%的老年人患3种及以上慢性病;多因素分析显示:超重等多种危险因素在老年人中存在。结论老年人高血压、冠心病、糖尿病、慢性阻塞性肺疾病的患病率较高,同时患2种及以上慢性病的老年人较多,老年人存在多种慢性病危险因素。

Objective To explore the prevalence of chronic diseases and the associated factors among the age of 60 and above in Tianshan district of Urumqi.It will provide the basis for the elderly disease prevention and control measures,which is consistent with the local community.Methods The prevalence of 7 chronic diseases and the related risk factors survey were conducted with a self-design questionnaire among 840 elderly persons in Urumqi.The data were arranged with multivariable Logistic regression analysis.Results The general prevalence rate of chronic diseases was 78.1%.The prevalence of chronic diseases was in sequence of hypertension（59.6%）,coronary heart disease（37.9%）,diabetes（24.6%）,chronic obstructive pulmonary disease（21.8%）,stroke（4.1%）,malignancy（1.3%） asthma（1.0%）;There was significant difference of prevalence of chronic diseases in populations with different educational levels（P0.05）,the prevalence in group behind primary educational level was the highest;prevalence of chronic diseases were not different by the different gender,different age team,different ethnic groups of population;28.5% of the elderly suffer from two kinds of chronic diseases,19.1% of the elderly suffer from three or more chronic diseases.With multiple regression,overweight and other risk factors existed in the old.Conclusion In the 7 chronic diseases,the higher prevalence rate is hypertension,coronary heart disease,diabetes,chronic obstructive pulmonary disease,most old people suffer from two or more chronic diseases and multiple chronic diseases risk factors exist in the old.