江苏省骨质疏松高危人群分布及与常见慢性病的关系

Distribution of high risk osteoporosis populations and its relation with common chronic diseases in Jiangsu Province

目的 了解江苏省骨质疏松高危人群分布特点,探讨与常见慢性病的患病关系,为开展干预工作提供依据.方法 多阶段分层随机抽样方法在江苏省3个省辖市抽取40～69岁的社区居民为调查对象,面对面询问进行调查,采用国际骨质疏松基金会测试题目对高危人群进行筛查,并对结果进行检验和非条件logistic分析.结果 骨质疏松自报患病率和高危人群检出率分别为2.3％、44.0％,两率均随着年龄的增加呈上升趋势（矮病率=11.4,x~出率=134.36,P＜0.05）,其中骨质疏松自报患病率女性高于男性（x2 =4.11,P＜0.05）,高危人群检出率男性高于女性（x2=96.65,P＜0.05）;骨质疏松患者自报各种慢性病患病率最高,其次是高危人群,非条件logistic回归分析结果显示,骨质疏松患者和高危人群患高血压、血脂异常和心脑血管病风险增加,OR值在1.158～1.412.结论 骨质疏松高危人群检出率较高,与常见慢性病患病相关,建议利用现有的慢性病综合防治工作网络,进行骨质疏松早期筛查和干预.

Objective To understand characteristics of high-risk osteoporosis populations distribution in Jiangsu Province; to study its relation with common chronic diseases;to provide basis for taking intervention measures.Methods Multi-stage stratified random sampling method was used to select community residents aged 40~69in 3cities of Jiangsu Province as survey subjects.Face to face questionnaires using One-minute Osteoporosis Risk Test by International Osteoporosis Foundation was employed for screening of high-risk populations.Descriptive analysis and non-conditional logistic regression analysis were used to analyze results.Results Self-reported osteoporosis rate was 2.3%,while detection rate of high-risk populations was 44.0%,both rates increased with age（χ 2 self-reported rate=11.4,χ 2 detetion rate=134.36,P〈.05）.Self-reported osteoporosis rate was higher in female than that in male（χ2=4.11,P〈.05）,while detection rate of high-risk populations was higher in male than that in female（χ2=96.65,P〈.05）.Osteoporosis patients had the highest self-reported rate of all kinds chronic diseases, followed by high-risk populations.Non-conditional logistic regression analysis showed that osteoporosis patients and high-risk populations had significantly high risks of hypertension,dyslipidemia and cardiovascular diseases,OR was 1.158~1.412. Conclusion Detection rate of osteoporosis high-risk populations was high;it is related to common chronic diseases.Early screening and intervention programs should be conducted on basis of current comprehensive prevention and control network for chronic diseases.