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目的了解湖北省≥15岁居民两周患病状况并分析与其相关的因素,为当地合理配置卫生资源,促进居民健康提供参考依据。方法采取分层整群随机抽样方法,随机抽取湖北省20个县(市)27 763名常住人口作为调查对象,使用统一调查表进行入户询问调查。采用非条件逐步logistic回归分析两周患病的相关因素。结果湖北省≥15岁居民两周患病率为19.8%。其中,城市为25.3%,农村为15.8%;男性为18.8%,女性为20.6%。多因素logistic回归分析结果显示,城市居民两周患病可能性高于农村(OR=1.699,95%CI:1.512~1.909)、45-59岁和60岁以上人群两周患病可能性相对较高(OR=1.749,95%CI:1.545~1.980;OR=1.856,95%CI:1.597~2.157)、丧偶/离异居民两周患病率高于未婚人群(OR=1.701,95%CI:1.285~2.252)、离退休和失业/无业者两周患病率高于在业人群(OR=1.891,95%CI:1.611~2.221;OR=1.383,95%CI:1.212~1.578)、慢性病患者两周患病率明显高于未患慢性病者(OR=30.869,95%CI:28.085~33.930)。结论在15岁以上居民疾病预防中,应关注来自城市、年龄较大、离婚或丧偶居民,并加强慢性病防控。
Objective To understand the two-week prevalence of residents aged ≥ 15 years in Hubei Province and analyze the factors related to them, so as to provide a reference for the local rational allocation of health resources and the promotion of residents’ health. Methods A stratified cluster random sampling method was used to randomly select 27 763 permanent residents in 20 counties (cities) of Hubei Province as the survey subjects, and use the unified questionnaire to conduct household inquiry survey. Non-conditional stepwise logistic regression analysis of two weeks related factors. Results The prevalence of two-week prevalence of ≥15 years old residents in Hubei province was 19.8%. Among them, 25.3% in urban areas and 15.8% in rural areas; 18.8% for males and 20.6% for females. Multivariate logistic regression analysis showed that urban residents were more likely to be ill in two weeks than in rural areas (OR = 1.699, 95% CI: 1.512-1.909). The odds of being ill in 45-59 years and over 60 years (OR = 1.49, 95% CI: 1.545 ~ 1.980; OR = 1.856, 95% CI: 1.597 ~ 2.157). The two-week prevalence rate of widowed / divorced residents was higher than that of unmarried people ~ 2.252). The two-week prevalence rate of retired and unemployed / unemployed workers was higher than that of employed people (OR = 1.891, 95% CI: 1.611-2.21; OR = 1.383, 95% CI: 1.212-1.578) The weekly prevalence was significantly higher than those without chronic disease (OR = 30.869, 95% CI: 28.085-33.930). Conclusion In the prevention of diseases among residents over the age of 15, attention should be paid to the prevention and control of chronic diseases from the cities, older people, divorced or widowed residents.