北京市宣武区成人慢性病患病及相关危险因素分析  

A study on the prevalence and risk factors of chronic diseases among adults in Xuanwu district of Beijing

作　　者：刘淑岭[1] 张楠[1] 玉洁[1] 

机构地区：[1]北京市西城区疾病预防控制中心(南区),北京100053

出　　处：《慢性病学杂志》2013年第1期39-43,共5页Chronic Pathematology Journal

摘　　要：目的通过对本地区居民高血压、糖尿病、脑卒中、冠心病四种慢病患病现况及危险因素进行分析,掌握流行规律,为探讨防治对策提供科学依据。方法采用等比例多阶段整群随机抽样的方法,按功能社区和生活社区共抽取3 339人入户调查和体检,对四种慢病患病情况及相关危险因素进行logistic回归分析。结果样本人群四种慢性病粗患病率为35.5%,患病率由高到低依次为高血压、糖尿病、冠心病、脑卒中。Logistic多因素分析结果显示,文化程度越低(OR文化程度(4)=0.3,OR文化程度(5)=0.3,OR文化程度(6)=0.2)、年龄(OR年龄(1)=3.7,OR年龄(2)=10.9)、年龄越大(OR年龄(1)=3.7,OR年龄(2)=10.9)、吸烟(OR=1.3)、血脂越高(OR=2.1)、BMI值越大(OR=1.2)、口味偏咸(OR=1.3)、蔬菜摄入量不足(OR蔬菜摄入量(1)=1.2)、畜肉(OR畜肉摄入量(2)=1.4)、奶类(OR奶类摄入量(2)=4.9)、大豆与坚果摄入量(OR大豆与坚果摄入量(2)=1.4)偏高对慢性病患病产生不利影响。结论本地区居民慢病患病率较高,应针对主要危险因素开展干预工作。Objective To analyze the current prevalence and risk factors of four chronic diseases(hypertension,diabetes,stroke,coronary disease)among residents in Xuanwu District.To understand the epidemic pattern and to provide scientific basis for future prevention and control.Methods 3 339residents were selected by using proportional allocation multi-stage cluster random sampling among functional and living communities where household survey and physical examination were carried out.The relationship between chronic diseases and their risk factors was analyzed by logistic multiple linear regression.Results The crude prevalence rate of the 4chronic diseases was 35.5%.Hypertension had the highest prevalence rate,and it was followed by diabetes,coronary disease and stroke.Logistic regression analysis showed that low educational level(OR(4) = 0.3,OR(5) =0.3,OR(6) =0.2),older age(OR(1) =3.7,OR(2) =10.9),smoking(OR=1.3),high blood-fat(OR=2.1),high BMI(OR=1.2),salty food habits(OR=1.3),low vegetable consumption(OR(1) =1.2),high consumption of meat(OR(2) =1.4),milk(OR(2) =4.9),soybean and nuts(OR(2) = 1.4)had bad effects on the prevalence of chronic diseases.Conclusions The prevalence of chronic diseases is high in Xuanwu District of Beijing.Comprehensive interventions should be implemented as soon as possible to control the prevalence of chronic diseases.

关 键 词：成人 慢性病 危险因素 

分 类 号：R195[医药卫生—卫生统计学]