吉林省成年居民慢性病患病率及其疾病谱调查分析

Analysis on prevalence rate and disease spectrum of chronic disease in adult residents in Jilin province

目的:了解慢性非传染性疾病及其疾病谱在吉林省不同地区、不同人群的流行状况,为制定慢性病防制的策略和措施提供依据。方法:采用多阶段分层随机整群抽样方法,于2012年抽取吉林省32个县(市、区)18～79岁23 050名居民进行面对面访谈以调查其慢性病患病情况;采用复杂加权的方法估计其慢性病的患病率。结果:吉林省成年居民慢性病总患病率为51.6%,农村(55.7%)高于城市(48.3%),女性(57.6%)高于男性(46.0%),差异均有统计学意义(P<0.001),患病率随年龄增长呈上升趋势;系统别慢性病患病率前5位依次为循环系统疾病(23.5%),消化系统疾病(19.1%),骨骼肌肉系统和结缔组织疾病(18.1%),泌尿系统疾病(12.3%),内分泌、营养和代谢疾病(7.6%);疾病别慢性病患病率前5位依次为高血压(13.3%)、慢性胃肠炎及溃疡(11.4%)、椎间盘疾病(11.4%)、缺血性心脏病(7.7%)和关节炎(7.0%)。结论:吉林省成年居民慢性病患病率高于既往国内相关调查结果,不同地区、不同人群慢性病的流行状况存在差异,提示应加大对慢性病防治力度,结合慢性病流行特征采取有针对性的防治措施。

Objective To examine the prevalence rate and disease spectrum of non-communicable chronic diseases in different areas and different population of Jilin province and to provide evidence for making prevention and controlling strategies of chronic diseases.Methods A total of 23 050adult residents aged 18-79years from 32districts of Jilin province were selected by multistage cluster randomly sampling.The investigation with questionnaire was conducted in face-to-face style,and chronic diseases conditions were self-reported.Complex weighted computation was used in the prevalence rate estimation.Results The total prevalence rate of chronic diseases was 51.6%.The residents in rural areas had a higher prevalence rate compared with residents in urban areas（55.7% vs 48.3%,P0.001）.The female residents had a higher prevalence rate compared with male residents（57.6%vs 46.0%,P0.001）.The prevalence rate was increased with the age increasing.The top 5of the most prevalent systemic chronic diseases were disease of circulatory system（23.5%）,disease of digestive system（19.1%）,disease of musculoskeletal system and connective tissue（18.1%）,disease of genitourinary system（12.3%）and endocrine and nutritional and metabolic diseases（7.6%）.The top 5of the most prevalent chronic diseases were hypertension（13.3%）,chronic gastroenteritis/peptic ulcer（11.4%）,intervertebral disc disease（11.4%）,ischemic heart disease（7.7%）,and arthritis（7.0%）.Conclusion The adult residents in Jilin province have a higher prevalence rate of chronic diseases compared with the results of the other similar investigation in China.There are differences in the distributional characteristics of chronic disease among different areas and different populations.Health system should provide more strength in preventing and controlling chronic diseases according to the different distribution of them in different populations and different areas.