上海市社区中老年居民慢性病患病调查  

Prevalence of chronic diseases among middle aged and elderly community residents in urban Shanghai

作　　者：马恰怡 李泓澜[2] 徐洪兴[2] 姜宏[1] 谭玉婷[2] 刘大可[2] 项永兵[2] 

机构地区：[1]上海市长宁区虹桥街道社区卫生服务中心,200051 [2]上海市肿瘤研究所流行病学研究室

出　　处：《中国公共卫生》2012年第3期325-327,共3页Chinese Journal of Public Health

摘　　要：目的了解上海市长宁区社区中老年居民慢性病患病情况和分布特征。方法采用横断面现况调查,研究对象为上海市长宁区某街道40～74岁男性和40～70岁女性,分别于2003年和1998年完成了6 488名男性和8 511名女性的健康调查,根据上海市人口普查资料的年龄构成计算慢性病标化患病率,并采用χ2检验比较不同特征人群的慢性病患病率差异。结果男、女性慢性病中高血压患病率最高,标化患病率分别为28.0%、22.6%;分别有40.9%男性和36.5%女性患有高血压、冠心病、糖尿病、慢性阻塞性肺病和脑卒中5种主要慢性病中的一种;体质指数(BMI)≥24者,高血压和冠心病的患病率较高;经常吸烟、饮酒的男性,脑卒中、高血压和慢性阻塞性肺病的患病率较高,而吸烟、饮酒对女性慢性病的影响较小。结论不同特征人群慢性病患病率有一定差异,控制肥胖和戒烟是重要的干预措施。Objective To investigate the prevalence and distribution of chronic diseases among middle aged and elderly community residents in urban Shanghai.Methods Two corss-sectional community-based surveys among 6 488 men aged 40-74 years and 8 511 women age 40-70 years were conducted in Shanghai Changning district in 1998 and 2003,respectively.Standardized prevalence of chronic diseases was estimated based on gender and age structure of whole population from the census in 2000.Mantel-Haenszel chi-square was used in the analyses.Results Hypertension ranked the first in both men and women with the age-adjusted prevalence rates of 28.0% and 22.6%.There were 40.9% of the men and 36.5% of the women had at least one of the 5 main chronic diseases（diabetes,hypertension,coronary heart disease,chronic obstructive pulmonary disease,and stroke） during their lifetime.The residents with higher body mass index had higher prevalences of hypertension and coronary heart disease.The prevalences of stroke,hypertension,and chronic obstructive pulmonary disease were higher in the men with frequent smoking or alcohol drinking,but not in women.Conclusion There were differences in the prevalences of common chronic diseases for the residents of sub-group in the community,and obesity control and to stop smoking are important interventions among middle aged and elderly residents in community.

关 键 词：慢性病 患病率 横断面调查 

分 类 号：R195.4[医药卫生—卫生统计学]