论文部分内容阅读
目的了解天津市和平区居民慢性非传染性疾病流行现状及其影响因素。方法采用系统抽样的方法,选取3 974名居民并采取面对面的问卷调查和体格检查。结果居民慢性病患病率为32.11%,男女性患病率分别为32.59%和31.68%,差异无统计学意义(P>0.05);慢性病患病率随年龄的增长呈上升趋势(χ2=961.91,P<0.05);患病率前五位疾病依次是高血压(24.70%)、糖尿病(9.35%)、脑卒中(2.99%)、急性心肌梗死(1.55%)、恶性肿瘤(0.81%);单因素和多因素logistic回归分析发现,年龄、吸烟、饮酒、超重和肥胖、平均每天静坐时间超过4 h、口味重是慢性病的危险因素,而主动获取保健知识、听过社区卫生服务机构的卫生知识讲座是慢性病的保护因素。结论慢性病患病率随年龄的增长而呈上升趋势,60岁及以上居民的慢性病患病率最高,但35~59岁人群慢性病患病风险更高,应作为防治重点。慢性病受多种因素影响,需要全社会共同参与,开展综合防治才能更好地控制疾病的发生和发展。
Objective To understand the prevalence and influencing factors of chronic non-communicable diseases in Heping District, Tianjin. Methods A systematic sampling method was used to select 3 974 residents and take face-to-face questionnaires and physical examinations. Results The prevalence of chronic diseases among residents was 32.11%, the prevalence rates of male and female were 32.59% and 31.68% respectively, with no significant difference (P> 0.05). The prevalence of chronic diseases showed an upward trend with age (χ2 = 961.91, P <0.05). The top five diseases were hypertension (24.70%), diabetes (9.35%), stroke (2.99%), acute myocardial infarction (1.55%) and malignant tumor Factors and multivariate logistic regression analysis found that age, smoking, drinking, overweight and obesity, the average daily sit-in time more than 4 h, taste is a chronic risk factor, and take the initiative to obtain health knowledge, heard of community health service agencies health knowledge Lecture is a protective factor of chronic diseases. Conclusions The prevalence of chronic diseases is increasing with the increase of age. The prevalence of chronic diseases is the highest among residents aged 60 and above, but the risk of chronic diseases among 35 ~ 59 years old people is higher and should be the focus of prevention and treatment. Chronic diseases are affected by many factors, requiring the whole society to participate in comprehensive prevention and control in order to better control the occurrence and development of the disease.