2013年湖南省居民两周患病及≥15岁居民半年内慢性病患病构成分析

Analysis of two-week prevalence of diseases among residents and prevalence rate of chronic diseases within six-month period among residents aged 15 years and over in Hunan,2013

目的分析2013年湖南省居民两周患病与≥15岁居民半年慢性病患病的疾病构成及顺位。方法采用多阶段随机抽样得到24 282人为调查对象,用Rao-Scott调整x^2检验比较不同人口学特征间患病率差别、估算前10位疾病构成。结果湖南省城乡居民两周患病率接近(23.03%和22.75%),但农村15~岁、35~岁居民两周患病率(5.52%和14.96%)均分别高于城市(2.18%和9.40%),差异均有统计学意义(均有P<0.05)。<5岁、5~岁和15~岁年龄段居民两周患病以急性呼吸道疾病和伤害为主,≥35岁居民两周患病中慢病占较大比例。≥15岁城市居民半年内慢病患病率为32.97%,高于农村的27.68%,但差异无统计学意义(x^2=1.34,P=0.247)。≥35岁城乡居民慢病患病以高血压、糖尿病和椎间盘疾病最常见。结论湖南省35岁以下居民两周患病以急性呼吸道传染性疾病和伤害为主,≥35岁居民中,随着年龄增加慢病所占比重增长迅速。≥15岁居民半年慢病患病率已达28.92%;高血压、糖尿病和椎间盘疾病成为≥35岁城乡居民最主要的慢性病。

Objective To investigate two-week prevalence of disease among residents in Hunan and prevalence rate of chronic disease within previous six months among Hunan residents aged 15 years and over in the year of 2013. Methods Totally, 24 282 individuals were selected using multi-stage random sampling. Rao-scott adjusted chi-square test was used to test differences in prevalence rates. In addition, the proportions of top 10 diseases were estimated. Results The two-week prevalence rate was similar between urban residents and rural residents for all age groups in Hunan Province （23. 03% vs 22. 75% ）, but the two-week prevalence was much higher in rural residents than in urban residents for 15- years （5.52% vs 2. 18% ） and 35- years （ 14. 96% vs 9.40% ）, with significant difference（ all P 〈 0. 05）. Acute respira- tory infectious diseases and injuries were the most common diseases of two-week prevalence for residents aged less than 5years, 5- years and 15- years in both urban and rural residents. While chronic diseases accounted for the major of two- week prevalence in residents with aged ≥ 35 years. The prevalence of chronic diseases within previous six months was slightly higher for residents aged ≥15 years in urban areas than that in rural areas （32. 97% vs 27.68% ）, but no signifi- cant difference （x^2 = 1.34, P = 0. 247 ）. Hypertension, diabetes and intervertebral disc disorders were major causes of chronic disease prevalence in residents aged ≥ 35 years. Conclusions Acute respiratory infectious diseases and injuries were common cause of two-week prevalence in residents aged 〈 35 years. For residents aged ≥35 years, the proportion of chronic diseases increased with of age. The prevalence of chronic diseases in the prior six months was up to 28. 92% in res- idents aged ≥ 15 years. Hypertension, diabetes and intervertebral disc disorders were common causes of chronic disease prevalence in residents aged ≥35 years in Hunan.