北京市成年人主要慢性病流行特征分析  

Prevalent charateristics of common chronic diseases among adults in Beijing

作　　者：董忠[1] 李刚[1] 谢瑾[1] 周滢[1] 张京[1] 赵越[1] 焦淑芳[1] 

机构地区：[1]北京市疾病预防控制中心慢性病防治所,100013

出　　处：《中国公共卫生》2010年第3期357-358,共2页Chinese Journal of Public Health

摘　　要：目的分析北京市成年人常见慢性病的流行特征。方法自行设计的调查问卷。于2008年10-11月,采用多阶段分层随机整群抽样方法对北京市18~79岁的22 206名常住居民进行问卷调查、体格测量和实验室检查。结果调查人群高血压、糖尿病、超重、肥胖、中心性肥胖和血脂异常的患病率分别为30.3%,6.1%,36.2%,19.1%,51.5%和34.2%;其中男性分别为38.8%,8.2%,42.5%,22.5%,62.8%和42.9%,女性分别为27.9%,5.7%,34.7%,18.4%,47.9%和30.4%,男性各慢性病患病率均高于女性;郊区高血压和肥胖的患病率分别为34.8%和23.0%,已高于城区的31.6%和18.7%;〈50岁男性各种慢性病的患病率均高于女性,50~60岁糖尿病、肥胖、中心性肥胖和血脂异常的患病率则女性高于男性;男性的发病高峰在青壮年期,女性在绝经期。结论肥胖和血脂异常已成为北京市成年人重要健康问题;郊区的慢性病患病水平已接近或超过城区。Objective To understand the prevalence of common chronic diseases in adults of Beijing.Methods Totally 22206 adults aged 18-79 years were randomly selected with stratified multi-stage cluster sampling method.All participants were invited to receive a face-to-face questionnaire interview,physical examination and laboratory tests.Results The prevalence of hypertension,diabetes,overweight,obesity,central obesity and dyslipidemia were 30.3%,6.1%,36.2%,19.1%,51.5%,and 34.2% among the participants,respectively.The prevalences of the diseases were higher in the men compared with that of in the women（38.8%,8.2%,42.5%,22.5%,62.8%,and 42.9% in the men,and 27.9%,5.7%,34.7%,18.4%,47.9%,and 30.4% in the women,respectively）.The rates of diabetes and dyslipidemia in the participants of urban area（7.1% and 38.4%） were higher than that of in rural（6.3% and 31.0%）.But the prevalences of hypertension and obesity among the adults in rural area（34.8% and 23.0%） were higher than that of in urban area（31.6% and 18.7%）.In age groups younger than 50 years old,the prevalences of the diseases were higher in men.But the rates of diabetes,obesity,central obesity and dyslipidemia were higher in women in the age groups older than 50 years old.The prevalence of hypertension and overweight tended to be similar between elderly men and women.The higher prevalences of chronic diseases were observed among younger and middle age men and menopause women.Conclusion Obesity and dyslipidemia are the new health problems among adults in Beijing.The chronic disease burden in rural area is similar to or even higher than that in urban area.

关 键 词：高血压 糖尿病 肥胖 血脂异常 流行特征 

分 类 号：R181.13[医药卫生—流行病学]