河南省15岁以上居民消化系统疾病及影响因素分析

Analysis on prevalence of digestive system diseases in population of Henan province over the age of 15 year-old and its influence factors

目的了解河南省居民消化系统疾病的患病情况及影响因素,为消化系统疾病的防治提供依据和参考。方法 2013年8月在河南省采用多阶段分层、整群随机抽样的方法抽取18个地区15岁以上居民共27 140人,调查15岁以上居民年龄、文化程度等基本情况及慢性病的患病情况并进行统计描述和统计学分析,单因素分析采用χ^2检验,多因素分析采用Logistic回归分析,P〈0.05为差异有统计学意义。结果在2013年河南省居民消化系统疾病的患病率为1.99%,单因素分析显示不同城乡分布、年龄组、文化程度、婚姻状况、就业状况、职业类型和是否进行健康体检之间对比差异均有统计学意义（均P〈0.05）。多因素Logistic回归分析显示影响河南省居民消化系统疾病的患病因素有年龄、文化程度、城乡分布和是否进行健康体检。结论应关注农村居民消化系统疾病的防治,重视二级预防、提高居民的健康体检意识,并定期进行健康体检。

Objective Understand the prevalence and influence factors of digestive system diseases in Henan province,in order to provide references for the prevention and treatment of digestive system diseases.Methods Using multi-stage stratified cluster random sampling method to extract the population aged 15 and above distributing in 18 regions Henan province in August 2013,a total of 27 140 people,investigating the prevalence of residents aged 15 and above age,education and other basic conditions and chronic diseases.Then statistics description and statistical analysis is necessary,single factor analysis using chi square test,multiple factor analysis using Logistic regression analysis,P0.05 for the difference was statistically significant.Results The prevalence of digestive system disease is 1.99%.Univariate analysis shows that differences were statistically significant among different age group,rural-urban distribution,education level,marital status,employment status,type of business and whether health examination or not（all P0.05）.Multivariate Logistic regression analysis shows that the predisposing factors are age,education level,rural-urban distribution and whether health examination or not.Conclusion Focusing on the prevalence and treatment of digestive system diseases of rural residents.Emphasizing on secondary prevention,raising residents＇ awareness of health examination and making health examination regularly seems to be useful for preventing digestive system diseases.