广州市快速城市化农村地区慢性非传染性疾病现况调查

Prevalence survey on chronic non-communicable disease in the rural area of rapid urbanization of Guangzhou city

目的了解广州市快速城市化农村地区慢性病流行情况、危险因素及死亡率。方法分阶段分层整群随机抽样调查,抽取荔城地区800户居民,抽取比例为1.22%(800/65 763),统计不同年龄组、性别人群慢性非传染性疾病(慢非病)患病率。结果共调查居民1680例,男性804例(47.9%),女性876例(52.1%)。慢非病患病率为24.3%,前4种疾病分别为高血压、糖尿病、胃炎、冠心病,构成比为51.6%;>15岁人群高血压患病率为13.61%(229/1680);超重肥胖率为31.0%(521/1680)。高血压的危险因素为年龄、文化程度、家庭人均年收入、饮酒、腰围、高密度脂蛋白、低密度脂蛋白。首位死因为心脏病,其次为脑血管病。结论高血压、糖尿病及心脑血管疾病等正成为本市慢非病领域重要的公共卫生问题,其中心脑血管病死亡率较高,应重点综合防治。

Objective To investigate the prevalence of chronic non-communicable disease（NCD）,risk factors and mortality in the rural area of rapid urbanization of Guangzhou city. Methods The survey was conducted according to multistage stratified cluster random sampling method and the 800 households were selected from the area.The proportion of the total sample was 1.22%（800/65 763）.The NCD prevalence rates of different age and sex groups was counted. Results The survey was conducted among 1680 residents,804 males（47.9%） and 876 females（52.1%）.The prevalence of NCD was 24.3%.The first four diseases included hypertension,diabetes,chronic gastritis and coronary heart disease.The constituent ratio was 51.6%.The prevalence rate of hypertension in adults（above 15 years of age） was 13.61%（229/1680）. The prevalence of obesity or overweight was 31.0%（521/1680）.The risk factors for hypertension included age,education, annual income of the family,drinking,waist circumference,high-density lipoprotein and low density lipoprotein.The first death causes was heart diseases and the second was cerebrovascular disease. Conclusion Hypertension,diabetes and cardiovascular disease are becoming an important public health problem with NCD,The cerebrovascular disease mortality is higher and the integrated control measures should be strengthened.