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目的了解2008年石家庄市居民主要慢性病患病现状,为制定慢性病防治策略提供科学依据。方法采用分层整群随机抽样方法抽取石家庄市23个县(市)、区中抽取的9个县(市)区的7 668名15～69岁常住居民。调查方法包括问卷调查、体格测量和实验室检测。结果主要慢性病患病率由高到低依次为:高血压(27.2%)、颈、腰、背及骨关节疾病(19.3%)、消化系统疾病(8.6%)、糖尿病(8.0%)、心血管疾病(5.0%)、慢性阻塞性肺部疾病(2.6%)、脑血管疾病(2.3%)、恶性肿瘤(0.34%);除恶性肿瘤外,在不同职业间各种慢性病患病率差别均有统计学意义(P<0.01);慢性病患病率均随年龄增加呈上升趋势(P<0.01)。女性心血管疾病(5.8%)和颈、腰、背及骨关节疾病患病率(22.7%)高于男性(4.1%和15.4%,P<0.01)。除糖尿病、脑血管疾病外,高血压、心血管疾病、恶性肿瘤、慢性阻塞性肺部疾病、颈、腰、背及骨关节疾病和消化系统疾病的患病率均为城市高于农村(P<0.05)。高血压病知晓率为39.2%,治疗率为8.4%,控制率为1.0%,城市居民知晓率(58.1%)高于农村(35.2%,P<0.01),但治疗率(15.2%)低于农村(23.7%,P<0.05),控制率(2.4%)与农村(2.7%)比较,差别无统计学意义(P>0.05);糖尿病知晓率为51.3%,治疗率为27.3%,控制率为6.7%。城市居民知晓率(62.6%)高于农村(47.8%,P<0.05),但治疗率(75.4%)低于农村(90.6%,P<0.01),控制率(26.3%)与农村(18.8%)比较,差别无统计学意义(P>0.05)。结论石家庄市居民慢性病患病率较高,应引起相关部门的重视。
Objective To understand the prevalence of major chronic diseases in residents in Shijiazhuang in 2008 and provide scientific evidence for the development of prevention and treatment strategies for chronic diseases. Methods A stratified cluster random sampling method was used to extract 7 668 permanent residents aged from 15 to 69 in 9 counties (cities) in 23 counties (cities) of Shijiazhuang City. Survey methods include questionnaires, physical measurements and laboratory tests. Results The prevalence rates of major chronic diseases were as follows: hypertension (27.2%), cervical, lumbar, back and bone diseases (19.3%), digestive diseases (8.6%), diabetes (5.0%), chronic obstructive pulmonary disease (2.6%), cerebrovascular disease (2.3%) and malignant tumor (0.34%). In addition to malignant tumors, the prevalence of various chronic diseases in different occupations (P <0.01). The prevalence of chronic diseases increased with age (P <0.01). The prevalence of cardiovascular disease (5.8%) and cervical, lumbar, back and joint diseases were higher in women than in men (22.7% vs 4.1% vs 15.4%, P <0.01). In addition to diabetes and cerebrovascular disease, the prevalence of hypertension, cardiovascular disease, malignancy, chronic obstructive pulmonary disease, cervical, lumbar, back and bone and joint diseases and digestive diseases were higher in urban areas than in rural areas (P <0.05). The awareness rate of hypertension was 39.2%, treatment rate was 8.4% and control rate was 1.0%. The awareness of urban residents was 58.1% higher than that of rural areas (35.2%, P <0.01), but the treatment rate was 15.2% (23.7%, P <0.05), control rate (2.4%) and rural (2.7%), the difference was not statistically significant (P> 0.05); the awareness rate of diabetes was 51.3% and the treatment rate was 27.3% 6.7%. The urban residents’ awareness rate (62.6%) was higher than that in rural areas (47.8%, P <0.05), but the treatment rate was 75.4% lower than that in rural areas (90.6%, P <0.01) ), The difference was not statistically significant (P> 0.05). Conclusion The prevalence of chronic diseases among residents in Shijiazhuang is higher, which should be paid more attention by relevant departments.