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目的掌握延边朝鲜族自治州(简称延边州)居民慢性病及其危险因素的流行状况和变化趋势,评价延边州卫生相关政策和慢病防控项目的效果。方法采用多阶段抽样方法对延边州18岁以上成年人(3 568)人进行问卷调查和体格测量。结果延边州成年人高血压、糖尿病、心肌梗死、脑卒中、血脂异常标化患病率为分别为23.4%、4.3%、5.0%、3.5%、5.0%;慢性病患病率随着年龄增长呈上升趋势(P<0.001),不同民族之间高血压、脑卒中患病率差异有统计学意义(P<0.001);年龄大、超重、肥胖、饮酒、血脂异常是延边州成年人慢性病的危险因素,在农村居住与身体活动成为慢性病的保护因素。结论高血压、糖尿病、脑卒中是延边州主要的健康问题,应依据目前患病率及影响因素采取相应预防控制措施。
Objective To understand the prevalence and trend of chronic diseases and their risk factors in Yanbian Korean Autonomous Prefecture (Yanbian Prefecture) and to evaluate the effect of Yanbian Prefecture health-related policies and chronic disease prevention and control projects. Methods A multi-stage sampling method was used to survey and measure physical fitness of adults over the age of 18 in Yanbian prefecture (3 568). Results The prevalence of hypertension, diabetes mellitus, myocardial infarction, stroke and dyslipidemia in Yanbian adults were 23.4%, 4.3%, 5.0%, 3.5% and 5.0% respectively. The prevalence of chronic diseases increased with advancing age (P <0.001). The prevalence rates of hypertension and stroke in different ethnic groups were significantly different (P <0.001). The age, overweight, obesity, alcohol consumption and dyslipidemia were the risk factors of chronic diseases in Yanbian adults Factors that dwell in rural areas and physical activity become the protective factors of chronic diseases. Conclusions Hypertension, diabetes mellitus and stroke are the main health problems in Yanbian prefecture. Corresponding prevention and control measures should be taken according to the current prevalence rate and influencing factors.