深圳居民慢性病相关行为模式分析

Chronic diseases related behavioral patterns among residents in Shenzhen city

目的分析广东省深圳市居民慢性非传染性疾病相关行为模式特征及影响因素。方法于2009年采用随机整群抽样方法抽取8487名15～69岁深圳常住居民为研究对象，采用描述性分析和等级logistic回归分析慢性病主要行为因素暴露水平、聚集度和影响因素。结果主要行为危险因素人群暴露率依次为超重或肥胖37．64％、静态生活48．77％、现在吸烟18．94％和重度饮酒19．90％；个体危险因素聚集数为（1．25±0．95）种，具备≥2项行为危险因素比例为35．29％；男性（OR=5．21，90％CI=4．84～5．62）、年龄45～59岁（OR=1．05，90％CI=1．02～1．14）、社会经济地位（SES）低（OR=0．94，90％CI=0．92～0．95）、自报慢性病患病（OR=1．33，90％CI=1．18～1．49）、离婚／丧偶（OR=3．29，90％CI=2．62～4．12）者行为危险因素聚集度高。结论深圳居民慢性病行为危险因素流行严重，开展针对多个危险因素，实行教育、环境、政策等综合干预策略，可有效降低慢性病危险因素暴露。

Objective To explore characteristics and influencing factors of behavioral risk factors （BRFs） pattern relevant to chronic diseases in Shenzhen city. Methods A total of 8 487 permanent residents aged 15 - 69 years in Shenzhen city were selected with multi-stage random cluster sampling. The prevalence, cluster degree, and influencing factors of BRFs were analyzed using descriptive method and ordinal logistic regression model. Results The major BRFs were overweight or obesity （ 46. 58% ）, physical inactivity （ 43.78% ）, current smoking （ 42.40% ）, and heavy alcohol drinking（36.01% ）. The proportion of the residents having at least two BRFs and the mean number of BRFs were 35.29 % and 1.25± 0. 95. The male residents （ odds ratio （OR） = 5.21,90% confidence interval [ CI ] ： 4. 84 - 5.62 ）, at age of 45 to 59 years （ OR = 1.05,90% CI： 1.02 - 1.14 ）, with low socialeconomic status （ OR = 0. 94,90% CI： O. 92 - 0. 95 ）, with self-reported chronic disease （ OR = 1.33,90 % CI： 1.18 - 1.49 ）, and single/windowed （ OR = 3.29,90 % CI： 2. 62 -4. 12）were more likely to have more BRFs. Conduslon The prevalence of BRFs in residents of Shehzhen city was high. Comprehensive intervention strategy including education, environment and policy targeting multiple BRFs should be implemented.