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目的了解衡阳市社区居民主要慢性病患病现状及其影响因素,为制定社区居民慢性病的相关防治政策和干预策略提供科学依据。方法采用多阶段整群随机抽样方法在衡阳市珠晖区10个街道/乡镇随机抽取2 881名≥18周岁常住居民进行问卷调查和体格检查。结果衡阳市珠晖区居民慢性病患病率为45.23%,慢性病患病率随年龄的增长呈上升趋势(χ2趋势=39.296,P<0.01),高血压、糖尿病、冠心病、脑卒中、慢性阻塞性肺部疾病(COPD)和癌症的患病率依次为26.52%、9.89%、10.00%、3.30%、2.60%和0.56%;多因素非条件logistic回归分析结果显示,年龄≥65岁、丧偶、吸烟、高盐膳食、超重和肥胖、腰围异常、不知晓食品营养标签和慢性病高危人群标准是社区居民慢性病患病的独立危险因素。结论高血压、糖尿病和冠心病是社区居民的主要慢性病,该地区居民慢性病患病的主要影响因素为年龄、婚姻状况、吸烟情况、盐摄入量、BMI、腰围、是否知晓食品营养标签和慢性病高危人群标准,应依据目前患病情况及其影响因素采取相应的预防控制措施。
Objective To understand the prevalence and influential factors of major chronic diseases among community residents in Hengyang and provide scientific basis for the establishment of relevant prevention and control policies and intervention strategies for chronic diseases of community residents. Methods A multistage cluster random sampling method was used to randomly select 2,881 residents aged ≥18 years of age from 10 streets / townships in Zhuhui District of Hengyang City for questionnaire and physical examination. Results The prevalence of chronic diseases in Zhuhui District of Hengyang City was 45.23%. The prevalence of chronic diseases was increasing with age (χ2 trend = 39.296, P <0.01), and hypertension, diabetes, coronary heart disease, stroke and chronic obstruction The prevalence rates of COPD and cancer were 26.52%, 9.89%, 10.00%, 3.30%, 2.60% and 0.56%, respectively. The multivariate non-conditional logistic regression analysis showed that the prevalence of COPD and cancer was more than 65 years old, widowed, Smoking, high-salt diet, overweight and obesity, abnormal waist circumference, unknown nutrition labeling and high risk population of chronic diseases are independent risk factors of chronic diseases in community residents. Conclusions Hypertension, diabetes mellitus and coronary heart disease are the main chronic diseases of residents in the community. The main influencing factors of chronic diseases among residents in this area are age, marital status, smoking status, salt intake, BMI, waist circumference, knowledge of food nutrition labels and chronic diseases High-risk population standards, should be based on the current prevalence and its influencing factors to take appropriate preventive and control measures.