2011年盐都区农村居民主要慢性病及危险因素调查

Major chronic diseases and risk factors survey of rural residents in Yandu District,2011

目的了解盐城市盐都区农村居民当前主要慢性非传染性疾病(慢性病)患病情况及其主要危险因素。方法对盐城市盐都区5 068名农村居民进行问卷调查,了解其一般状况、慢性病史及可能与慢性病发病有关的影响因素,并测量血压、血糖等指标。描述5种主要慢性病的患病情况,并采用单因素和多因素Logistic回归分析的方法探讨5种主要慢性病的危险因素和保护因素。结果盐都区18岁以上农村居民高血压患病率为16.97%;现场调查一行政村,糖尿病患病率为3.36%。患病人群血压知晓率、治疗率和控制率分别为73.98%、68.26%和34.77%;血糖知晓率和控制率分别为51.43%和31.43%。患病率居前5位的恶性肿瘤分别是胃癌、食管癌、肠癌、肝癌和肺癌。盐都区主要慢性病的危险因素为疾病家族史(遗传)、老龄、男性等不可预防的危险因素和饮酒、腰围长、睡眠质量差、体力活动缺乏等可干预危险因素。结论盐城市盐都区农村居民慢性病患病率与全国其他地区水平接近,应实施有针对性的预防措施,提高预防效果。

Objective To understand the current major chronic non-communicable diseases（chronic diseases） situation and the main risk factors of rural residents in Yandu District of Yancheng City.Methods To understand the general condition,history of chronic disease and probably related factors with chronic disease,questionnaire survey was conducted among 5 068 rural residents,and blood pressure and blood glucose index were also measured.Univariate and multivariate Logistic regression were performed to analyze the risk factors and protective factors of the 5 major chronic diseases.Results The hypertension prevalence of rural residents above the age of 18 in Yandu District was 16.97%.A field study from one village showed the diabetes incidence was 3.36%.The rate of hypertension disease awareness,treatment and blood pressure controlling was 73.98%,68.26% and 34.77% respectively;and the rate of blood glucose awareness and controlling respectively reached to 51.43% and 31.43%.Malignant tumor which had the first 5 prevalence was gastric cancer,esophageal cancer,intestinal cancer,liver cancer and lung cancer respectively.The risk factors of major chronic disease in Yandu District were disease family history（genetic）,aged,male which could not be prevented,there were other risk factors that could be intervened,such as drinking,long waist,poor quality of sleep,insufficient physical exercises.Conclusions The prevalence rate of chronic diseases in Yandu District of Yancheng City is close to other areas.Targeted preventive measures should be carried out to improve the prevention effect.