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目的了解2013年南京市部分居民骨质疏松患者及高危人群与常见慢性病的关系,为采取针对性的干预措施提供依据。方法在南京市3个社区抽取40~69岁社区居民为调查对象,由经过统一培训的调查员集中或入户进行面对面调查,采用国际骨质疏松基金会测试题目对高危人群进行筛查。结果骨质疏松自报患病率和高危人群检出率分别为2.9%和40.9%,两率均随年龄的增加呈上升趋势(χ2患病率=8.89,χ2检出率=49.90,均P﹤0.05);高危人群检出率男性高于女性(χ2=59.69,P<0.05);骨质疏松高危人群检出率与文化程度呈反比(χ2=9.19,P<0.05);骨质疏松患者自报患有高血压、血脂异常、心脑血管病均为最高,其次是骨质疏松高危人群,多因素logistic回归分析结果显示,高血压和心脑血管病患者,患骨质疏松风险较高,OR值分别是1.40和1.68。结论骨质疏松高危人群检出率较高,与常见慢性病相关,建议加大骨质疏松危害的宣传力度,提高社区居民尤其是慢性病患者对骨质疏松症的认识。
Objective To understand the relationship between some residents with osteoporosis and high risk population and common chronic diseases in Nanjing residents in 2013 and provide basis for taking targeted interventions. Methods A total of 40 to 69-year-old community residents in three communities in Nanjing were selected as the survey subjects. The surveyed persons who had been uniformly trained conducted a face-to-face investigation and used the international osteoporosis foundation test to screen the high-risk groups. Results The prevalence of self-reported osteoporosis and high-risk population were 2.9% and 40.9%, respectively. Both rates showed an increasing trend with age (χ2 = 8.89, χ2 = 49.90, P <0.05). The detection rate of high risk group was higher than that of female (χ2 = 59.69, P <0.05). The detection rate of high risk group with osteoporosis was inversely correlated with educational level (χ2 = 9.19, P <0.05) Self reported high blood pressure, dyslipidemia, cardiovascular and cerebrovascular disease are the highest, followed by high-risk groups of osteoporosis, multivariate logistic regression analysis showed that hypertension and cardiovascular disease patients with a higher risk of osteoporosis , OR values were 1.40 and 1.68 respectively. Conclusions The detection rate of high risk population of osteoporosis is high, which is related to common chronic diseases. It is suggested to increase the propaganda of the risk of osteoporosis and improve the understanding of osteoporosis in community residents, especially in patients with chronic diseases.