丹东市居民两周患病率及影响因素分析

Two-week morbidity rate of diseases and its major influential factors in residents of Dandong city

目的了解辽宁省丹东市≥15周岁居民两周患病率及影响因素,为疾病预防和区域卫生规划提供依据。方法采取分层整群随机抽样方法,随机抽取辽宁省丹东市5 000户家庭10 930名常住人口作为调查对象,使用统一调查表进行询问调查,采用非条件逐步logistic回归分析其影响因素。结果丹东市≥15周岁居民两周患病率为14.96%,其中城市为17.88%,农村为13.34%。logistic回归分析结果显示,影响两周患病率的主要因素为地区、性别、年龄、婚姻状况、文化程度、职业以及是否患有慢性病,两周患病率排在前5位的疾病分别为上呼吸道感染、高血压、流感、冠心病、胃肠炎。结论丧偶、文化程度低、离退休及患慢性病是导致丹东市居民两周患病率升高的主要危险因素,加强对该类人群的疾病预防和卫生服务是提高居民健康水平的关键环节。

Objective To examine the two-week morbidity rate of diseases and its major influential factors in the residents aged 15 years or older in Dandong city and to provide scientific basis for disease prevention and control and the establishment of regional health planning.Methods Overal 10 930 people from 5 000 families were selected randomly by means of stratified-cluster sampling and surveyed with a standardized questionnaire.Non-conditional stepwise logistic regression was employed to explore the influencing factors.Results Among the residents,the two-week prevalence of diseases was 14.96%（17.88% for urban residents and 13.34 for rural residents）.The influncial factors of the two-week prevalence were gender,age,marital status,educational level,occupation,and suffering from chronic diseases based on the results of non-conditional stepwise logistic regression.The five top morbidity diseases were upper respiratory tract infection,hypertension,influenza,coronary heart disease,and gastroenteritis.Conclusion Widowed,low education,retired and suffering from chronic diseases are important risk factors for increased two-week prevalence of diseases among the residents of Dandong city.Strengthening disease prevention and providing more health services are most important measures for improving the health of residents in Dandong city.