河北省成年居民慢性病流行特征及其相关因素分析  

Analysis on Epidemiological Characteristics and its Related Risk Factors of Chronic Diseases among Adult Residents in Hebei Province

作　　者：朱俊卿[1] 栗华[1] 张建新[1] 张敬一[1] 孙纪新[1] 薛玉凤[1] 王丽娜[1] 任合彦[2] 房浩宇[1] 杨雪梅[1] 

机构地区：[1]河北省疾病预防控制中心慢病防治所,河北石家庄050021 [2]河北省廊坊市疾病预防控制中心,河北廊坊065000

出　　处：《中国慢性病预防与控制》2007年第6期539-543,共5页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：河北省科学技术研究与发展计划项目资助(06276102D-81)

摘　　要：目的了解河北省成年居民慢性病及相关危险因素的流行水平。方法采用多阶段随机抽样,通过问卷、体格测量及血样检测等方法,调查分析河北20个区(县)4200名成人慢性病及相关危险因素与流行水平。结果人群超重率、肥胖率、向心性肥胖率、高血压患病率、血脂异常率、糖尿病患病率分别为35.19%,16.38%,52.98%,38.50%,39.62%,5.81%;标化率分别为30.28%,14.05%,44.32%,27.86%,32.71%,4.00%。以上几种慢性病患病率随年龄增长而升高,55岁以下组男性高于女性,55岁以上组女性高于男性,城市高于农村。河北省男性吸烟率、饮酒率高于女性(P<0.01)。居民参加体育锻炼率为22.86%。多因素Logistic回归分析显示,超重是向心性肥胖、高血压、血脂异常和糖尿病的危险因素(OR值和95%CI分别为10.69,6.62～17.26;1.95,1.58～2.40;1.38,1.13～1.69;1.72,1.05～2.81);高血压是超重、向心性肥胖、血脂异常的危险因素(OR值和95%CI分别为1.99,1.60～2.46;1.60,1.33～1.92;1.57,1.35～1.82);血脂异常是超重、向心性肥胖、高血压和糖尿病的危险因素(OR值和95%CI分别为1.40,1.14～1.72;1.56,1.31～1.86;1.58,1.36～1.83;1.66,1.22～2.26)。结论河北省成人慢性病患病率处于全国较高水平,防治处于较低水平。超重、向心性肥胖、高血压、血脂异常是河北省成年居民应重点防治的慢性病,中老年人群是慢性病防治的重点。Objective To understand the epidemiologieal status of chronic diseases and its related risk factors among adult residents in Hebei province. Methods A total of 4 200 adults from 20 districts in Hebei province were selected by multistage stratified random sampling method, and they were investigated with questionnaire, and the body measurement and blood sample were analyzed. Results The prevalent rates of overweight, obesity, central obesity, hypertension, dyslipidemia and diabetes mellitus were 35.19%, 16.38%, 52.98%, 38.50%,6, 39.62% and 5.81%, respectively. The age-adjusted rates were 30.28%, 14.05%,44.32%,27.86%,32.71% and 4.00%, respectively. The prevalence of chronic diseases was highly associated with age. The prevalence of chronic diseases in male was higher than that in female among people aged under 55 yrs, but lower among people aged over 55 yrs. The rates were higher in urban areas than in rural areas. The prevalence rates of cigarette smoking and alcohol-drinking in male were higher than in female （P〈0.01）. The rate of physical exercise among adult residents in Hebei Province was 22.86%. Multiple logistic regression analysis indicated that overweight was the main risk factor for central obesity, hypertension, dyshipidemia and diabetes mellitus（OR values and 95%CI equaled 10.69,6.62～17.26, 1.95, 1.58～2.40, 1.38,1.13～1.69, 1.72, 1.05～2.81 respeetively）.While, hypertension was the main risk factor for overweigh, central obesity and dyshipidemia（OR values and 95%CI equaled 1.99, 1.60～2.46, 1.60, 1.33～1.92, 1.57, 1.35～1.82 respectively）. I）yshipidemia was the main risk factor for overweigh, central obesity,hypertension and diabetes mellitus（OR values and 95%CI equaled 1.40,1.14～1.72, 1.56, 1.31～1.86, 1.58, 1.36～1.83, 1.66, 1.22～2.26 respectively）. Conclusion The prevalent rates of overweight, obesity, central obesity, hypertension, dyslipidernia and diabetes mellitus in adult residents in Hebei province are higher than the average level in China, but the prevention

关 键 词：成年居民 慢性病 流行特征 相关因素 

分 类 号：R194.7[医药卫生—卫生事业管理]