唐山市30～79岁城乡居民慢性病患病调查  

Investigation on prevalence of chronic diseases among urban and rural residents aged 30-79 years in Tangshan

作　　者：张志坤[1] 刘丹[1] 张晓慧[1] 项东[1] 何金奎[1] 张绍文[1] 高庆华[1] 李芳[1] 

机构地区：[1]河北省唐山市疾病预防控制中心,河北唐山063000

出　　处：《现代预防医学》2012年第23期6278-6280,共3页Modern Preventive Medicine

基　　金：唐山市科学技术研究与发展指导计划课题(09130235a)

摘　　要：目的调查河北省唐山市城乡居民主要慢性病患病率及分布特征,为制定防病政策提供依据。方法采用分层整群随机抽样方法,选取14个县区257614名30～79岁居民入户访谈调查。结果 252013名唐山市城乡居民中,患各种慢性病者共计101987人次,累计患病率为40.4%。慢性病患病率居前5位依次是高血压、慢性胃肠炎/溃疡、心脏病、糖尿病和脑血栓,患病率分别为12.1%,10.2%,8.6%,3.1%和2.6%,占慢性病总数的90.6%;高血压、心脏病和糖尿病的患病率均为城市高于农村,女性高于男性,慢性胃肠炎/溃疡、脑血栓患病率农村高于城市,慢性胃肠炎/溃疡、脑血栓、乙肝和肝硬化患病率男性高于女性。1种以上慢性病患病率为27.7%,其中30～、40～、50～、60～、70～岁年龄组患病率分别为14.1%、22.4%、32.6%、44.2%、51.9%,城市(31.3%)高于农村(26.5%),女性(28.2%)高于男性(27.2%)。结论城乡居民慢性病患病率随年龄增长而上升,城市慢性病明显高于农村;高血压、慢性胃肠炎/溃疡和心脑血管疾病是威胁唐山市居民健康的主要疾病。OBJECTIVE To investigate the prevalence and epidemiological characteristics of chronic diseases in Tangshan city and to establish scientific basis for the establishment of public health and diseases prevention and policies of Tangshan. METHODS A total of 257 614 residents aged 30-79 years from 14 districts of Tangshan were selected by cluster randomly sampling. The investigation with questionnaire was conducted in-home, face-to-face, and chronic diseases were self-reported. RESULTS The total prevalence rates of chronic diseases was 40.4%. The first five of the most prevalent chronic diseases were hypertension, chronic gastric ulcer / gastritis, heart disease, diabetes, cerebral thrombosis, and their prevalence rates was 12.1%, 10.2%, 8.6%, 3.1% and 2.6%, respectively. They occupied 90.6% of all the cases of chronic diseases, The prevalence rates of hypertension, heart disease, and diabetes were all higher for women than for men, and were also higher for urban than for rural, and the rates of chronic gastric ulcer / gastritis, cerebral thrombosis were all higher for rural than for urban, were also higher for men than for women. There were 69, 725 （27.7%） of subjects had one or more than one chronic diseases, which was higher among urban than rural （31.3% vs 26.5%）, higher among women than men （28.2% vs 27.2%）, and incidence rate of 30-, 40-, 50-, 60-, 70years-old was 14.1%, 22.4%, 32.6%, 44.2%, 51.9%, respectively. CONCLUSION The prevalence of chronic diseases has increased with age, and it was higher among urban than rural. Hypertension, chronic gastric ulcer / gastritis, cardiovascular and cerebrovascular diseases are the first four kinds of the most prevalent chronic diseases in Tangshan, which would be the main diseases need to control and prevent.

关 键 词：慢性病 高血压 患病率 访谈调查 唐山市 

分 类 号：R195[医药卫生—卫生统计学]