河北省就业流动人口主要慢性病现况及危险因素分析

The morbidity and risk factors of main chronic diseases among employment floating population in Hebei Province

目的了解河北省就业流动人口慢性病及相关危险因素的流行现况,为制定针对流动人口的慢性病预防控制策略和措施提供依据。方法 2012年采用按行业分层的多阶段整群抽样方法,通过询问调查、身体测量、实验室检测等方法,调查分析河北省8个县区18岁以上2 378名就业流动人口慢性病及相关危险因素流行情况。结果调查人群中超重率、肥胖率、高血压患病率、糖尿病患病率和血脂异常率分别为39.19%、16.99%、25.78%、7.86%和39.57%。以上疾病患病率男性均高于女性,差异均有统计学意义(P<0.01)。随着年龄的增长,慢性病的患病率有升高趋势,在50岁前男性慢性病患病率均高于女性,50岁后女性患病率略高于男性。多因素logistic回归分析显示,职业、性别、年龄和肥胖是高血压、糖尿病、血脂异常的主要危险因素,职业、性别、年龄是肥胖的主要危险因素。结论河北省18岁以上就业流动人口中,超重、肥胖、糖尿病、血脂异常等慢性病患病率超过全国18岁以上常住居民水平,吸烟、过量饮酒、蔬菜水果摄入不足是需要重点干预的危险因素。

Objective To understand the epidemiological status of chronic diseases and related risk factors among floating population in Hebei Province, and to provide the base for preventive measures. Methods In 2012 the multistage stratified random sampling method was used to select 2 378 floating adults from 8 districts in Hebei province as the subjects. The investigation for chronic diseases and related risk factors was performed with questionnaire, body measurement and laboratory test. Results The morbidities of overweight, obesity, hypertension, diabetes and dyslipidemia were 39.19%, 16.99%, 25.78%, 7.86% and 39.57%,respectively. The morbidities of chronic diseases in males were significantly higher than those in females（P〈0.01）. The morbidities of chronic diseases increased with age, the morbidities of chronic diseases in males 〈50 years old were higher than those in females 〈50 years old, but the morbidities of chronic diseases in males 〉50 years old were slightly lower than those in females〉 50 years old. Multiple logistic regression analysis indicated that occupation, gender, age and obesity were the main risk factors for hypertension, diabetes and dyslipidemia, and occupation, gender and age were the main risk factors for obesity.Conclusion The morbidities of overweight, obesity, dyslipidemia and diabetes in the floating population（〉18 years old） in Hebei Province are higher than the average levels of above diseases in China. The smoking, excessive alcohol consumption, lack of fruits and vegetables intake are the risk factors which should be intervened.