北京市M区成年人慢性病现状调查

Analysis of Morbidity and Risk Factors of Chronic Disease in M District,Beijing City

目的：调查北京市 M 区成年人的慢性病患病情况，分析主要慢性病的特征，探讨慢性病的防范策略.方法采用多阶段分层随机整群抽样调查 M 区9个乡镇4个街道的3602例19～79岁成年人，调查内容包括调查问卷、血生化检测和体格测量.结果成人高血压和血脂异常的标化后患病率分别达到29．2％和22．91％；骨关节病和糖尿病的标化后患病率分别达到14．74％和10．3％.城乡居民的高血压、血脂异常、糖尿病、冠心病和恶性肿瘤的患病率均没有显著性差异.超重和肥胖组的居民分别占调查人口的37．13％和16．56％，肥胖组的高血压、血脂异常、骨关节病和糖尿病的患病率分别达到54．77％、41．34％、22．44％和20．85％.结论高血压、糖尿病、血脂异常和肥胖等慢性病仍是 M 区疾控预防控制工作的重点，男性和肥胖人群是主要慢性病的重点发病人群，需要同等重视城市和农村居民的慢病风险干预和控制.

Objectives To investigate and analyze the prevalence of chronic diseases among adults in M District of Beijing city,and to put forward prevention strategies.Methods Totally 3 602 adults aged 18 to 79 were randomly selected with stratified multi-stage cluster sampling method in 9 towns and 4 street of M District.The questionnaire interview,physical examination and laboratory tests were carried out to collect data.Results The standardized mor-bidity rate of hypertension,dyslipidemia,osteoarthrosis and diabetes were 29.2%,22.91%,14.74% and 10.3%, respectively.There were no significant difference between urban and rural adults in the prevalence rate of hyperten-sion,dyslipidemia,diabetes,coronary heart disease and cancer.Overweight and obese group adults accounted for 37.13% and 1 6.56% of the population surveyed respectively.The morbidity rate of hypertension,dyslipidemia,os-teoarthrosis and diabetes of obese group reached 54.77%,41.34%,22.44% and 20.85%,respectively.Conclusions Hypertension,diabetes,dyslipidemia and obesity are still major task of chronic disease control in M.Male and obese are the key population in chronic disease management.The disease risk intervention and control in urban and rural areas should be paid the same attention.