安徽省2020年14个县(区)成年居民常见慢性病患病现状及其影响因素分析

Prevalence and influencing factors of common chronic diseases among adult residents from fourteen counties/districts of Anhui Province in 2020

目的了解安徽省2020年成年居民慢性病患病现况与危险因素分布情况。方法采用多阶段分层整群随机抽样的方法,抽取安徽省14个县(区)8273名18岁以上的居民,调查居民慢性病患病水平和慢性病危险因素流行水平。采用列联表进行差异性检验,采用无序多分类logistic回归模型进行多因素分析。结果安徽省14个县(区)8273名成年居民,自报常见慢性病患病率由高到低的疾病依次为高血压(24.0%)、糖尿病(6.4%)、脑卒中(4.1%)、冠心病(3.9%);居民患1种、2种和3种及3种以上的常见慢性病患病率分别为20.6%、6.2%、1.7%。不同地区居民慢性病患病率差异有统计学意义(χ^(2)=71.702,P<0.001);年龄越大居民慢性病患病水平越高(χ^(2)=1387.729,P<0.001);不同婚姻状况的居民患病率差异有统计学意义(χ^(2)=278.714,P<0.001);不同职业调查对象慢性病患病水平差异有统计学意义(χ^(2)=313.963,P<0.001);不同BMI居民慢性病患病率差异有统计学意义(χ^(2)=114.771,P<0.001);睡眠质量不好慢性病患病水平高(47.41%)。无序多分类多因素logistic回归分析显示,45岁以上的人群、婚姻状况(丧偶)、离退休人员、肥胖、有慢性病家族史和睡眠质量不好是慢性病危险因素,患多种慢性病和单一慢性病的危险因素略有不同。结论2020年安徽省14个县(区)成年居民常见慢性病患病率较高,成年居民患常见慢性病的影响因素较多。

Objective To understand the prevalence of chronic diseases and its influencing factors among residents in 2020 in Anhui Province,2020.Methods A multi-stage stratified cluster random sampling method was used to conduct a questionnaire survey among residents over 18 years old.A total of 8,273 residents from 14 counties/districts in Anhui Province were selected to investigate the prevalence and risk factors of chronic diseases.Contingency table and multinomial logistic regression were used for statistical analysis.Results A total of 8273 residents in 14 counties/districts in Anhui Province were investigated.Residents’self-reported prevalence of chronic diseases from high to low were hypertension(24.0%),diabetes(6.4%),stroke(4.1%),coronary heart disease(3.9%).The prevalence of residents suffering from one,two and three or more common chronic diseases were 20.6%,6.2% and 1.7%,respectively.There were statistically significant differences in the prevalence of chronic diseases among residents of different regions(χ^(2)=71.702,P<0.001),different ages(χ^(2)=1387.729,P<0.001),different marital status(χ^(2)=278.714,P<0.001),different occupations survey respondents(χ^(2)=313.963,P<0.001),and different Body Mass Index(BMI)(χ^(2)=114.771,P<0.001).The older the residents were,the higher the prevalence of chronic diseases among the residents.In addition,residents with poor sleep quality had a higher prevalence of chronic diseases(47.41%).Multinomial logistic regression analysis showed that being over 45 years old,widowhood,retirement,obesity,family history of chronic diseases,and poor sleep quality were risk factors for the development of chronic diseases.Moreover,the risk factors for developing multiple chronic diseases were slightly different from those for a single chronic disease.Conclusion The prevalence of common chronic diseases among adult residents in 14 counties/districts in Anhui Province in 2020 is high and influenced by many factors.