目的了解烟台市福山区慢性病高危人群及危险因素分布现状,为制定干预措施提供科学依据。方法 2012年1~10月采取多阶段分层随机抽样方法,对福山区18~70岁居民进行问卷调查、体格检查及实验室检测,应用SPSS 18.0软件进行统计学分析。结果调查600人,46.33%(278人)的符合1种或1种以上慢性病高危人群标准,不同性别流行率为男性56.36%(186人),女性34.07%(92人),吸烟、腰围异常流行率男女差异有统计学意义(P<0.05),男性高于女性。血压异常、空腹血糖异常、血清胆固醇异常流行率男女差异无统计学意义(P>0.05)。不同年龄流行率18~、31~、41~、51~、61~70岁分别为29.73%、37.10%、45.04%、49.61%、50.21%。血压异常、吸烟、空腹血糖异常、血清胆固醇异常、腰围异常等危险因素的流行率分别为15.33%(92人),19.50%(117人),11.17%(67人),19.00%(114人),32.33%(194人)。吸烟、空腹血糖异常、血清胆固醇异常的流行率在不同年龄组间差异有统计学意义(P<0.05)。血压异常、腰围异常的流行率在不同年龄组间差异无统计学差异(P>0.05)。结论慢性病已成为该地区一项重要的公共卫生问题,采取多种渠道积极发现慢性病高危人群,并采取综合性干预措施已成为当务之急。 Objective To understand the distribution of risk factors and risk factors of chronic diseases in Fushan District, Yantai City, and to provide a scientific basis for formulating intervention measures. Methods From January to October in 2012, a multistage stratified random sampling method was adopted to conduct questionnaire survey, physical examination and laboratory test among residents aged 18-70 years in Fushan District, and SPSS 18.0 software was used for statistical analysis. Results The prevalence rates of 600 and 46.33% (278 persons) were consistent with those of 1 or more people with high risk of chronic diseases. The prevalence rate of different sexes was 56.36% (186 persons) and 34.07% (92 persons), with abnormal prevalence of smoking and waist circumference The difference between men and women was statistically significant (P <0.05), men than women. There was no significant difference in the prevalence of abnormal blood pressure, fasting blood glucose and abnormal prevalence of serum cholesterol (P> 0.05). The prevalences at different ages were 29.73%, 37.10%, 45.04%, 49.61% and 50.21% respectively at 18-31, 41-51 and 61-70 years old. The prevalence rates of risk factors such as abnormal blood pressure, smoking, abnormal fasting blood glucose, abnormal serum cholesterol and waist circumference were 15.33% (92 persons), 19.50% (117 persons), 11.17% (67 persons) and 19.00% (114 persons) , 32.33% (194 people). The prevalence of smoking, abnormal fasting blood glucose and abnormal serum cholesterol were significantly different between different age groups (P <0.05). There was no significant difference in the prevalence of abnormal blood pressure and waist circumference among different age groups (P> 0.05). Conclusions Chronic diseases have become an important public health problem in this area. It is urgent to take a variety of channels to actively find people at high risk of chronic diseases and to adopt comprehensive interventions.