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目的掌握地震灾区汶川县主要慢性病流行现状和危险因素,为制定防控策略提供依据。方法采用多阶段整群随机抽样方法在全县开展慢性病及危险因素调查,采用全县统一调查问卷,同时进行体格检查。结果共调查18岁及以上居民1 773人(男872人,女901人)。现在吸烟率32.8%(男64.0%,女2.6%);危险饮酒率6.0%(男8.8%,女3.3%),男性有害饮酒率9.2%;经常锻炼者仅5.3%(男4.4%,女6.2%),超重率35.3%(男35.1%,女35.5%),肥胖率8.5%(男7.1%,女9.8%)。高血压患病率20.7%(男23.7%,女17.8%),慢性阻塞性肺病3.3%,糖尿病2.5%,高血脂1.0%。结论应针对居民吸烟率高、过量饮酒较多、运动少、超重和肥胖率较高的特点,制定干预措施,降低慢性病患病率。
Objective To understand the prevalence and risk factors of major chronic diseases in Wenchuan County in the earthquake-hit areas and provide the basis for the development of prevention and control strategies. Methods A multistage cluster random sampling method was used to carry out the investigation of chronic diseases and risk factors in the whole county. Unified questionnaire was used in the whole county and physical examination was performed at the same time. Results A total of 1 773 residents aged 18 and over (872 males and 901 females) were investigated. The prevalence of smoking was 32.8% (64.0% for males and 2.6% for females); the rate of dangerous drinking was 6.0% (8.8% for males and 3.3% for females), 9.2% for men, and 5.3% for regular exercise (4.4% for males and 6.2 for females) %), Overweight 35.3% (male 35.1%, female 35.5%), obesity rate 8.5% (male 7.1%, female 9.8%). The prevalence of hypertension was 20.7% (male 23.7%, female 17.8%), chronic obstructive pulmonary disease 3.3%, diabetes 2.5% and hyperlipidemia 1.0%. Conclusions In order to reduce the prevalence of chronic diseases, interventions should be formulated to address the characteristics of residents with high smoking rates, excessive drinking, less exercise, overweight and higher obesity rates.