广西壮族自治区百色市慢性非传染性疾病及其危险因素现况调查

Investigation of the prevalence and risk factors of chronic non-communicable diseases in Baise of Guangxi Zhuang Autonomous Region

目的了解百色市城乡居民主要慢性非传染性疾病及其危险因素的流行状况,为制定慢性病预防控制策略和措施提供科学依据。方法采用多阶段分层整群抽样的方法,抽取百色市2县(区)18岁及以上常住居民1 200人,进行问卷调查和身高、体重、腰围、血压及血糖、血脂测量;采用Epi Data3.0软件建立数据库,用SPSS 18.0软件进行统计分析。结果人群吸烟率、饮酒率分别为18.8%、10.3%;食盐摄入过多率、红肉摄入过多率、蔬菜水果摄入不足率分别为16.4%、48.5%、75.1%;体力活动不足率为8.3%;人群超重率、肥胖率、高血压患病率、糖尿病患病率分别为28.0%、6.4%、35.1%、9.8%,标化率分别为26.4%、6.7%、26.3%、7.7%;高胆固醇血症患病率、低高密度脂蛋白血症患病率、高低密度脂蛋白血症患病率、高甘油三脂血症患病率分别为9.6%、13.5%、10.0%、11.5%,标化率分别为7.0%、12.1%、8.0%和10.5%。多因素非条件logistic回归分析结果显示,年龄(OR=1.965,95%CI:1.725-2.238)、性别(OR=0.536,95%CI:0.379-0.758)、民族(OR=1.616,95%CI:1.275-2.047)、饮酒(OR=3.027,95%CI:1.904-4.814)、体质指数≥24.0 kg/m^2(OR=2.011,95%CI:1.508-2.682)、低高密度脂蛋白(OR=0.564,95%CI:0.359-0.887)、高甘油三酯(OR=1.724,95%CI:1.063-2.797)等是高血压的独立影响因素。结论百色市城乡居民超重率、肥胖率、高血压患病率、糖尿病患病率、血脂异常率处于较高水平,人群中吸烟、危险饮酒、膳食结构不合理和体力活动不足,应作为城乡居民慢性病预防与控制干预的重点对象。

Objective To investigate the prevalence and risk factors of chronic non-communicable diseasesfor urban and rural residents in Baise so as to provide scientific reference for making chronic disease control strategiesand measures.Methods Questionaire survey was given to1200residents over the age18in two counties ofBaise,who were selected by Multistage Stratified Cluster Sampling.Their height,weight,waist circumference,bloodpressure,blood sugar,blood lipid were also detected.EpiData3.0software was adopted to establish the database forthese data.SPSS18.0software was used to give statistical analysis of these data.Results The rate of the smoking anddrinking was18.8%and10.3%.The rates of too much salt intake,too much red meat intake,inadequate intake offruits and vegetables was16.4%,48.5%,75.1%,respectively,the rate of lack of physical activity was8.3%.Theprevalence rates of overweight,adiposity,hypertension,diabetes were28.0%,6.4%,35.1%,9.8%,respectively,andthe standardized rates of them were26.4%,6.7%,26.3%,7.7%,respectively;the prevalence rates of high TC,lowHDL-C,high LDL-C,high TG were9.6%,13.5%,10.0%,11.5%,respectively,and the standardizedrates of them were7.0%,12.1%,8.0%,10.5%,respectively.Multi-factor unconditioned logistic regression analysis showed that age(OR=1.965,95%CI:1.725-2.238),sex(OR=0.536,95%CI:0.379-0.758),nation(OR=1.616,95%CI:1.275-2.047),drinking(OR=3.027,95%CI:1.904-4.814),body mass index≥24.0kg/m2(OR=2.011,95%CI:1.508-2.682),low HDL-C(OR=0.564,95%CI:0.359-0.887),high TG(OR=1.724,95%CI:1.063-2.797)were independent factors of hypertension.Conclusion The prevalence rates of overweight,obesity,hypertension,diabetes,dyslipidemia of Baise urban and rural residents are at higher levels.Smoking,unreasonabledietary structure and lack of physical activity are regarded as the key factors of chronic disease control and preventionfor urban and rural residents.