北京市通州区潞城镇2015年主要慢性病的社区诊断及分析

Community Diagnosis and Analysis of Chronic Non-communicable Diseases among Residents in Lucheng Town,Tongzhou District,Beijing,in 2015

目的调查本辖区居民主要慢性病患病情况及其影响因素,为制定适合本区的慢性病干预措施提供依据。方法采用PPS抽样和配额抽样的方法,抽取本辖区18岁以上常住居民370名进行问卷调查和体格检查。结果潞城镇2015年主要慢性病中高血压患病率为31.89%,糖尿病患病率为12.16%,血脂异常率为38.11%,存在多种慢性病发病危险因素。回归分析结果显示,性别、文化程度、BMI、家族史和吸烟均为慢性病发病的影响因素。男性高血压、血脂异常患病率均高于女性,女性糖尿病发病率稍高于男性,随着年龄的增长慢性病患病率呈显著升高趋势。结论通过社区诊断调查,可以监测慢性病防治效果和发现现存需要解决的问题,应加强对慢性病高风险人群的检出和管理。

OBJECTIVE To investigate the prevalence of chronic diseases in the residents of community and its related factors, provid- ing the basis for the development of interventions for chronic diseases. METHODS 370 people were sampled from the residents over the age of 18 to participate in the survey with methods of PPS and quota sampling. The survey included questionnaire and physical ex- amination. RESULTS The prevalence rate of hypertension was 31.89%. The prevalence rate of diabetes was 12.16%. The abnormal rate of blood lipid was 38.11% in the main chronic non-communicable diseases. Lots of risk factors existed. Regression analysis showed that sex, education level, BMI, family history and smoke were all related factors of chronic diseases. The prevalence of hyper- tension and dyslipidemia was higher in male than female, and the incidence of diabetes was slightly higher in female than male. There was a significant increase in the prevalence of high age group and low age group. CONCLUSION Through the community diag- nosis survey, it could monitor the effect of chronic disease prevention and treatment , then strengthen the detection and management of the high risk group of chronic diseases.