南京市社区居民骨质疏松高危人群危险因素分析

Analysis on risk factors of high risk osteoporosis populations in Nanjing

目的 了解南京市骨质疏松高危人群的危险因素现状,为采取针对性的干预措施提供依据.方法 2013年7月采用方便抽样方法,对鼓楼区40～70岁社区居民,采用《骨质疏松高危人群筛查问卷》和桡骨骨密度结果相结合的方法,进行骨质疏松高危人群筛查.结果 有效调查1 784人,人群骨质疏松相关知识知晓率仅9.5％,骨质疏松高危人群检出率73.7％,男性为83.5％,女性为69.6％,并随年龄的增长检出率明显上升.多因素logistic回归分析结果显示,高龄、文化程度低、患有慢性病、有骨折史、吸烟、饮酒、口味重的人群,骨质疏松高危人群检出率较高（P＜0.05）.结论 南京市居民骨质疏松高危人群检出率较高,相关知识知晓率低.应积极宣传骨质疏松相关知识,采取综合干预措施,降低骨质疏松的危害.

Objective To investigate current status of risk factors of high risk osteoporosis populations in Nanjing;to provide scientific basis for taking targeted intervention measures.Methods Convenient sampling method was used to screen community residents of high risk populations aged 40~70in Gulou district in July 2013.Combining Osteoporosis High Risk Population Screening Questionnaire and radius bone mineral density examination,high risk populations were screened for osteoporosis.Results A total of 1 784subjects were investigated effectively.Osteoporosis related knowledge awareness rate was only 9.5%.Detection rate of high risk osteoporosis population was 73.7%,while detection rate was 83.5% and 69.6%for male and female,respectively.Detection rate increased with age significantly.Multivariable logistic regression analysis showed that people of older age,low educational level,suffering from chronic diseases,having a history of fractures,smoking,drinking, favoring strong flavors had higher detection rates of osteoporosis in high risk populations than others（P〈.05）.ConclusionDetection rate of osteoporosis in high risk populations was high,while awareness rate of related knowledge was low.Public advocacy should be strengthened for osteoporosis related knowledge.Comprehensive intervention measures should be carried out to reduce the harm of osteoporosis.