湖南省慢性病综合干预社区居民主要慢性病及相关因素研究

Study of Chronic Diseases and Associated Factors Among Residents with Comprehensive Community Intervention on Non-communicable Chronic Diseases in Hunan

目的了解湖南省慢性病综合干预社区居民慢性病情况,为慢病防治提供依据。方法收集2008年9月-2009年12月在湖南省慢性病综合干预社区体检并建档的20岁以上社区居民资料共1 544例。分析社区居民的慢性病患病、知晓情况和影响因素等。结果慢性病总患病率男女性别差异无统计学意义(χ2=2.860,P>0.05)。慢性病总患病率以及男性、女性慢病患病率与年龄的线性趋势差异有统计学意义(χ2=292.438、163.971、290.850,P<0.05)。不同社会经济状况人群中,文盲或半文盲、家务或待业人员、丧偶者慢性病患病率较高,分别为71.43%、65.65%、81.52%。高血压、超重和/或肥胖检出率男女性别差异有统计学意义(P<0.05)。糖尿病、血脂异常检出率男女性别差异无统计学意义(P>0.05)。结论湖南省慢性病综合干预社区居民慢性病患病率与年龄、文化程度、职业和婚姻状况相关。

Objective To investigate the prevalence of chronic diseases in residents with comprehensive community intervention on non-communicable chronic diseases in Hunan,and to provide the evidence for prevention and treatment of chronic diseases.Methods Totally 1,544 cases of community residents aged over 20 years who had participated in archiving data and management in comprehensive intervention on chronic diseases from September,2008 to December,2009 were collected.The prevalence,awareness rate and influencing factors of chronic diseases among the community residents were analyzed.Results The total morbidity rate of chronic diseases showed no statistically significant difference between male and female（χ^2=2.860,P〉0.05）.To compare the total morbidity rate as well as morbidity rates of male and female with the age linear trend,there were statistically significant differences,respectively（χ^2=292.438,χ^2=163.971,χ^2=290.850,P〈0.05）.People with different socio-economic conditions,such as illiteracy or semiliterate,housework person or people waiting for employment,widow or widower had the high prevalence of chronic diseases,with the morbidity rates of 71.43%,65.65%,and 81.52%,respectively.There were statistically significant differences in the detection rates of hypertension,overweight and/or obesity between male and female（P〈0.05）.No statistically significant difference was found in the detection rates of diabetes mellitus as well as dyslipidemia between male and female（P〉0.05）.Conclusions The morbidity rates of chronic diseases among community residents with comprehensive intervention on non-communicable chronic diseases in Hunan are related to age,educational background,occupation and marital status.