定远县成年人主要慢性病及影响因素分析

Prevalence and risk factors of main chronic diseases among adults in Ding-yuan county

目的了解安徽省定远县成年人慢性病患病现状及其相关影响因素,为成年人慢性病预防与控制提供科学依据。方法采用多阶段抽样方法对安徽省定远县6 359名成年人进行问卷调查和体格测量。结果定远县成年人高血压、糖尿病、血脂异常患病例数和标化患病率分别为979例(17.11%)、158例(2.69%)、92例(1.56%);其中男性分别为522例(17.99%)、78例(2.49%)、54例(1.76%),女性分别为452例(16.24%)、80例(2.86%)、38例(1.35%);慢性病患病率随年龄的增长呈上升趋势(P<0.001);不同性别成年人各类慢性病患病率差异均无统计学意义(P>0.05);不同地区、是否肥胖及不同婚姻状况成年人各类慢性病患病率差异均有统计学意义(P<0.001);多因素分析结果表明,高体质指数(OR高血压=1.206,OR糖尿病=1.080,OR血脂异常=1.214)和年龄大(OR高血压=1.080,OR糖尿病=1.018)是安徽省定远县成年人慢性病的危险因素,而体力强度大(OR高血压=0.873,OR糖尿病=0.644,OR血脂异常=0.582)为慢性病的保护因素;3种慢性病之间存在相互影响的作用。结论高血压、糖尿病和血脂异常是安徽省定远县成年人的重要健康问题,应依据目前患病率及影响因素采取相应预防治疗措施。

Objective To investigate the prevalence and risk factors of main non-communicable chronic diseases inadult residents of Dingyuan county in Anhui province, and to provide scientific basis for making prevention and control strategies of chronic diseases. Methods Totally 6 359 adult residents in Dingyuan county were selected with multi-stage sampling and questionnaire survey and physical measurements were implemented in the adults. Restflts The age-adjusted prevalence of hypertension,diabetes mellitus and dyslipidemia were 17. 11% ,2. 69%, and 1.56%, respectively, and the prevalences in male adults were 17. 99%, 2.49%, and 1.76% and those in female adults were 16. 27%, 2. 86%, and 1.35 %, respectively. The prevalences of the diseases were significantly increased with age （P 〈 0. 01 ）. The differences in the prevalences of the diseases between male and female were not statistically significant （P 〉 0. 05 ） ,but there were sta tistically significant differences in the prevalences of the diseases among adult residents in different regions （ town and ru ral area）, with different physical status （obesity and non-obesity）, and different marriage status （all P 〈 0.01 ）. The re sults of multivariate logistic regression analysis showed that the risk factors of the diseases were age （odds ratio [ OR] hypertension = 1. 080, ORdiabetes = 1. 018 ） and high body mass index （BMI） （ ORhyp ion = 1. 206, ORdiabetes = 1. 080, ORdyslipidemia = 1. 214 ）. However, high labor intensity （ ORhypertension = 0. 873, ORdiabetes = 0. 644, ORdystipidemia = 0. 582 ） was a protective factor. In addition, there existed certain interactions among these three chronic diseases. Conclusion Hyper tension, diabetes mellitus, and dyslipidemia were main health problems among adult residents of Dingyuan county and the corresponding prevention and treatment strategies should be taken based on related influencing factors of the diseases.