河南省慢性病综合防控示范区建设效果评价

Evaluation of intervention effect in demonstration areas for comprehensive prevention and control of chronic diseases in Henan province

目的评估慢性病综合防控示范区建设干预效果,为推进示范区建设提供决策依据。方法利用河南省2018年慢性病及危险因素调查数据,比较示范区与非示范区18岁及以上居民吸烟、饮酒、运动等慢性病相关的行为指标,主要慢性病患病情况以及高血压与糖尿病知晓率、治疗率与管理率等指标。应用SAS 9.4软件进行χ2检验,结果采用复杂抽样加权的方法调整。结果示范区与非示范区分别调查了4181人和4055人。示范区高血压、糖尿病患病率(26.82%、11.76%)均低于非示范区(35.76%、17.92%),糖尿病前期和中心性肥胖比例(14.41%、31.98%)均低于非示范区(28.62%、37.00%);高血压知晓率(45.65%)、治疗率(41.33%)、控制率(13.82%)、健康管理率(47.57%)均高于非示范区(分别为32.16%、27.30%、6.79%和40.06%),有害饮酒率(2.28%)、烹调油摄入过多的比例(66.90%)均低于非示范区(3.57%、72.69%);经常体育锻炼人群比例(17.48%)高于非示范区(13.25%),以上差异均有统计学意义(P<0.05)。结论慢性病综合防控示范区建设对居民主要慢性病患病率和管理指标、以及相关健康行为的影响是积极的,继续推进示范区建设有利于慢性病综合防控工作。

Objective To evaluate the intervention effect in demonstration areas for comprehensive prevention and control of chronic diseases(CD demonstration areas)in Henan province so as to provide evidence and suggestions for advancing the development of CD demonstration areas.Methods The behaviors related to chronic diseases such as smoking,drinking and physical activity,the prevalence of major chronic diseases,awareness,treatment and management of hypertension and diabetes were compared between the demonstration area and non-demonstration area,using the data from surveillance of chronic disease and risk factor in Henan province in 2018.Results In the demonstration area and the non-demonstration area,4181 and 4055people were surveyed,respectively.The prevalence of hypertension(26.82%)and diabetes(11.76%)in the demonstration area was lower than those in the non-demonstration area(35.76% and 17.92%,respectively);the proportions of prediabetes and central obesity in the demonstration area(14.41% and 31.98%,respectively)were lower than those in the non-demonstration area(28.62% and 37.00%,respectively);the awareness rate(45.65%),treatment rate(41.33%),control rate(13.82%)and health management rate(47.57%)in the demonstration area were higher than those in the non-demonstration area(32.16%,27.30%,6.79% and 40.06%,respectively);the harmful drinking(2.28%)and excessive cooking oil intake rate(66.90%)in the demonstration area were lower than those in the non-demonstration area(3.57% and 72.69%,respectively);the proportion of regular physical exercise in demonstration areas(17.48%)was higher than that in non-demonstration areas(13.25%)with statistical significance(all P<0.05).Conclusion The construction of the demonstration area for the comprehensive prevention and control of chronic diseases has a positive impact on the prevalence of major chronic diseases and management indicators,as well as related health behaviors.Advancing the construction of the demonstration area is conducive to the comprehensive prevention and control of chronic diseases.