宜都市慢性病及相关危险因素调查分析

Survey of Chronic Diseases and Related Risk Factors in Yidu City

目的了解宜都市慢性病和相关危险因素流行现状,为开展社区慢性病综合防治及其效果评价提供基础资料。方法采用多阶段随机抽样对3 000名调查对象开展问卷调查、体格测量和血样检测。描述慢性病患病现状,采用复杂抽样Logistic回归分析探讨高血压、血糖偏高和高血脂的危险因素。结果宜都市慢性病患病率标化后为肥胖率4.57%、高血压25.87%、血糖偏高率4.24%、高血脂率37.33%。高年龄、超重、肥胖、喜食腌熏食品、慢病家族史、坐卧时间长是宜都市慢性病发病的危险因素,戒烟、高劳动强度和体育锻炼是保护因素。结论宜都市居民慢性病患病率高于2002年全国平均水平,但低于2010年湖北省平均水平,有必要针对以上危险因素及时开展社区防治工作。

Objective To describe the prevalence characteristics of chronic diseases and associated risk factors of Yidu county,and to provide basic data for community chronic disease management and its effect evaluation. Methods Multi-stage cluster random sampling was used. Questionnaire,physical measure and blood sample testing were conducted among 3000 respondents. The distribution of chronic illnesses was described and risk factors for 3 major chronic diseases were analyzed by complex sampling univariate and multivariate Logistic regression. Results In Yidu county,the standardization prevalence of obesity,hypertension,diabetes and dyslipidemia was4. 57%,25. 87%,4. 24% and 37. 33% respectively. The risk factors for chronic disease were high age,overweight,obesity,frequent intake of somked food,family history of disease and sedentariness. The protective factors were smoking cessation and high level of labor and physical exercise. Conclusion The prevalence rate of chronic diseases in Yidu county is higher than the national average in 2002,but less than that of Hubei province in 2010. It is necessary to carry out the community prevention and control work against above risk factors immediately.