广州市员村社区居民代谢综合征相关知信行状况调查

The Knowledge,Attitude and Practice Status of Metabolic Syndrome among Residents in Yuancun Area of Guangzhou

目的了解员村社区居民代谢综合征相关知信行（KAP）现状,分析影响居民代谢综合征患病的相关因素,为开展代谢综合征的社区健康管理提供科学依据。方法按年龄分层随机抽取员村社区8个居委会的315名常住居民作为调查对象,于2010年10月—2011年6月在征得其知情同意后入户进行代谢综合征相关KAP现状的问卷调查。结果员村居民对肥胖者的易患疾病,容易引起脑中风和冠心病的疾病,糖尿病、高血压、高血脂会相互影响以及确诊高血压的诊断标准、代谢综合征的危险因素、自身血压等知晓率较低,为17.1%~62.9%;限盐、饮酒者限酒比例均小于46.8%,规律锻炼者（16.2%~61.0%）的比例远低于打算限酒、少吃盐和锻炼者。Logistic回归分析提示,年龄、文化程度、吃早餐及规律锻炼是代谢综合征发病的相关影响因素。结论该人群对代谢综合征相关知识缺乏、保健意识不强,保健意愿转化为实际行动还有一定的差距,应采取有针对性的健康教育和健康促进措施预防和控制代谢综合征。

OBJECTIVE To get the Knowledge, Attitude and Practice（KAP） status and its influential factors of Metabolic Syndrome among residents in Yuanchun area of Guangzhou, providing scientific basis for further community health management. METHODS Stratified by age, 315 permanent residents were randomly selected from 8 neighborhood committees in Yuanchun. This survey was conducted from October 2010 to June 2011. The selected residents were consent to participate in this survey. A MS-related KAP questionnaire was used to collect information. The chi-square test was used to exam the differences among prevalence, multivariate Logistic regression analysis was used to evaluate related factors. RESULTS 17.1% ~ 62.9% of subjects in three agegroups lack of the knowledge about the susceptible diseases of obese people, diseases susceptible to stroke and coronary heart disease, health prob- lems of diabetes, high blood pressure, high cholesterol and such diseases would influence each other. Neither were they lack of the knowledge of diagnostic criteria for hypertension, risk factors for metabolic syndrome and their own blood pressure. Less than 46.8% of the subjects had reduced their daily intake of salt. And less than 46.8% of the subjects were willing to reduce drinking. The sub- jects who willing to have regular exercise（16.2% - 61.0%） were far less than the one who willing to limit alcohol. Logistic regression analysis suggested that age, culture level, eat breakfast or not and regular exercise were related factors of MS. CONCLUSION The residents in Yuanchun Area lack of knowledge about MS and have strong health consciousness. There was still a gap between health care will and action. Comprehensive measures should be taken to prevent and control MS.