2012年烟台市福山区慢性病高危人群流行率调查及危险因素分析

Survey on the Prevalence of Chronic Disease and Risk Factors Among High Risk Groups,Fushan District,Yantai City,2012

目的了解烟台市福山区慢性病高危人群及危险因素分布现状,为制定干预措施提供科学依据。方法 2012年1~10月采取多阶段分层随机抽样方法,对福山区18~70岁居民进行问卷调查、体格检查及实验室检测,应用SPSS 18.0软件进行统计学分析。结果调查600人,46.33%(278人)的符合1种或1种以上慢性病高危人群标准,不同性别流行率为男性56.36%(186人),女性34.07%(92人),吸烟、腰围异常流行率男女差异有统计学意义(P<0.05),男性高于女性。血压异常、空腹血糖异常、血清胆固醇异常流行率男女差异无统计学意义(P>0.05)。不同年龄流行率18~、31~、41~、51~、61~70岁分别为29.73%、37.10%、45.04%、49.61%、50.21%。血压异常、吸烟、空腹血糖异常、血清胆固醇异常、腰围异常等危险因素的流行率分别为15.33%(92人),19.50%(117人),11.17%(67人),19.00%(114人),32.33%(194人)。吸烟、空腹血糖异常、血清胆固醇异常的流行率在不同年龄组间差异有统计学意义(P<0.05)。血压异常、腰围异常的流行率在不同年龄组间差异无统计学差异(P>0.05)。结论慢性病已成为该地区一项重要的公共卫生问题,采取多种渠道积极发现慢性病高危人群,并采取综合性干预措施已成为当务之急。

Objective To understand the status of distribution of high-risk groups and risk factors of chronic disease in Fushan district,so as to provide scientific basis for formulating intervention measures. Methods Residents aged 18-70 years were enrolled by Multi-stage stratified random sampling mi^thod in Fushan district, among them the questionnaire survey,physical examination and laboratory tests were conducted. SPSS 18.0 was used for data analysis. Results Of 600 surveyed, 46.33% （278 residents） accorded with 1 or more standards of high-risk population of chronic disea- ses. Gender prevalence rate：men was 56.36% （186 residents） ,women was 34.07% （92 residents）. There were significant differences in smoking and abnormal waist between male and female（ P 〈0.05） ,male higher female. There were no signif- icant differences in abnormal blood pressure,impaired fasting glucose,abnormal serum cholesterol（ P 〉0.05）. Age group prevalence rate 18-,31-,41-,61-70 was 29.73%,37.10%,45.04%,49.61%,and 50.21%. The occurrence rate of abnormal blood pressure, smoking, impaired fasting glucose, abnormal serum cholesterol, abnormal waist was 15.3%（92residents） ,19.5% （ 117 residents）, 11.2% （67 residents）, 19.0% （114residents）, and 32.3% （ 194residents）. There were significant differences in smoking,impaired fasting glucose, and abnormal serum cholesterol among age groups（ P % 0.05） ,but no significant differences in abnormal blood pressure and waist （ P 〈 0.05）. Conclusion Chronic diseases have become one of the main public health problems in Fushan district. It is an urgent task to take a variety of channels to identify chronic high-risk groups proactively,and take comprehensive intervention measures for them.