丽水市居民慢性病患病状况与相关因素研究

A study on the prevalence of chronic diseases and related factors in residents of Lishui

目的探索丽水市居民慢性病患病状况与相关因素分析。方法选取2016年1~12月丽水市1012例常住居民为研究对象,采用随机抽样法进行抽样,采用问卷调查及体格检查的方式收集临床资料。统计不同慢性病患病率,对相关因素进行多因素logistic回归分析。结果1012例居民中共发现277例慢性病,慢性病患病率为27.37%,主要慢性病为高血压和糖尿病,其中患病率最高的慢性病是高血压132人,患病率为13.04%。居民慢性病患病情况中性别、人均月收入、吸烟、饮酒、体育锻炼指标数据对比差异无统计学意义(P>0.05),年龄、婚姻状况、咸淡口味、每日蔬菜摄入量、每日水果摄入量、BMI指标数据对比差异有统计学意义(χ^2=6.632、8.965、9.657、7.326、8.741、10244,P<0.05)。多因素logistic结果显示:年龄≥30岁、超重、肥胖是影响丽水市居民慢性病患病的独立危险因素(P<0.05),吃饭菜口味适中、每日水果摄入量≥200g是减少居民慢性病患病的保护因素(P<0.05)。结论丽水市居民慢性病患病率较高,其中高血压、糖尿病在患病情况较严重,30岁以上超重或者肥胖人群是慢性病的高发人群,需要密切关注,并保持口味适中的饮食习惯和正常水果摄入量。

Objective To explore the prevalence of chronic diseases and related factors in residents of Lishui.Methods A total of 1012 permanent residents in Lishui City from January 2016 to December 2016 were selected as subjects,and clinical data were collected by using questionnaire and physical examination.The incidence of different chronic diseases was uoing,and the chronic diseases of residents in different Lishui were compared.Multivariate logistic regression analysis was performed with statinally significance factors included.Results A total of 277 chronic diseases were found in 1012 residents.The prevalence of chronic diseases was 27.37%.The main chronic diseases were hypertension and diabetes.The highest prevalenct of chronic diseases was hypertension,with a rate of 13.04%.There was no statistically significant difference between gender,per capita monthly income,smoking,drinking,and physical exercise index among residents with chronic diseases(P>0.05).Age,marital status,salty taste of eating vegetables,daily vegetable intake and the daily fruit intake and BMI data were statistically significant(P<0.05).Multivariate logistic regression analysis showed that age≥30 years old,overweight and obesity were independent risk factors affecting chronic diseases in residents in Lishui,(P<0.05).Moderate eating and moderate fruit intake≥200 g were protection factor for chronic diseases of residents(P<0.05).Conclusions The incidence of chronic diseases is higher in Lishui,among which hypertension and diabetes are more serious.Overweight or obese people over 30 years old are high-risk people with chronic diseases.They need to pay close attention and maintain moderate eating habits and normal fruit intake.