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目的了解洞头县居民主要慢性病患病率及其影响因素,为制定有针对性的健康教育干预措施提供基础依据。方法采用多阶段随机抽样方法,随机抽取洞头县4个乡镇12个行政村共600例成年居民进行面对面问卷调查和体格测量,问卷内容包括家庭及个人基本信息、慢性病主要危险因素,并测量身高、体质量、腰围、血压,检测空腹血糖和血脂。结果共检出高血压患者277例,患病率为46.17%,标化患病率为30.45%;糖尿病患者84例,患病率为14.00%,标化患病率为16.58%;超重、肥胖患病率分别为38.67%、13.83%。多因素Logistic非条件回归分析显示,高血压影响因素为年龄、吸烟、饮酒、超重、肥胖(P<0.05);糖尿病影响因素为年龄和血脂异常(P<0.05)。结论应针对本县居民主要慢性病危险因素开展健康教育工作,切实提高居民预防慢性病的能力。
Objective To understand the prevalence and influential factors of major chronic diseases in Dongtou County residents and provide the basis for formulating targeted health education interventions. Methods A multi-stage random sampling method was used to randomly select 600 residents from 12 administrative villages in 4 townships of Dongtou County for face-to-face questionnaires and physical measurements. The questionnaire included basic information about family and individuals, major risk factors for chronic diseases, and height , Body weight, waist circumference, blood pressure, fasting blood glucose and blood lipids. Results A total of 277 hypertension patients were detected, the prevalence rate was 46.17% and the standardized prevalence rate was 30.45%. Among the 84 patients with diabetes mellitus, the prevalence was 14.00% and the standardized prevalence was 16.58%. Overweight, obesity The prevalence rates were 38.67% and 13.83% respectively. Multivariate logistic regression analysis showed that the influencing factors of hypertension were age, smoking, drinking, overweight and obesity (P <0.05). The influencing factors of diabetes were age and dyslipidemia (P <0.05). Conclusions Health education should be carried out according to the risk factors of major chronic diseases of residents in this county, so as to effectively enhance residents’ ability to prevent chronic diseases.