丹东市城乡居民慢性病行为危险因素分析

Analysis on Behaviors Risk Factors of Chronic Disease in Residents of Dandong Area

目的 了解慢性病的患病情况、易感人群和主要危险因素。方法 采用随机分层抽样对 2 0岁以上常住人口进行居民健康状况及行为危险因素的调查。结果 调查对象高血压、高血脂、冠心病的患病率分别为 14 12 %、2 8 0 9%、6 72 % ;吸烟、饮酒、咸食、超重与肥胖、失眠的比例分别为 2 6 2 %、2 0 6%、17 8%、2 9 0 6%、18 6%。多因素lo gistic分析显示 :超重、肥胖、吸烟、饮酒、咸食、失眠等是慢性病的主要危险因素 ,并且随着饮酒年限和吸烟年限的增多 ,其患慢性病的危险性也呈显著的上升。超重伴有高血压、高血脂者的冠心病、脑卒中、糖尿病的患病率均比同龄健康者成倍增高。结论 高血压、高血脂、冠心病等是丹东地区居民的主要慢性病。加强健康教育、开展控烟与防治高血压是主要的干预措施。

Objective To study the prevalence and behavioral risk factors for chronic disease in rural of dandong area.Methods The adults agedaover 20 years were investigated about health condition and behavioral risk factor with stratified sampling.Results The self-reported prevalence of hypertension,hyperlipedimia and coronary heart disease (CHD) were 14.12%,28.09% and 6.72% respectively. The rates of smoking,drinking,diet with hyper salt,overweight and insomnia were 26.2%, 20.6%,17.8%,19.6% and 18.6% respectively. Multi-variable analyses show that overweight,fat,smoking,drinking,diet with hyper salt are significantly associated with chronic disease,and the more years one drinked and smoked ,the higher risk one suffered from chronic disease. Prevalence rates of CVD,Stroke,and Diabetes raised higher among persons who had overweight accompanying hypertension and hyperlipidemia than ‘healthy’ of the same age groups.Conclusion Hypertension,hyperlipedimia and CHD are main chronic disease in Dandong area. Health education,stopping smoking and hypertension control are the major intervention measures.