2011年南昌市西湖区慢性病现状及其危险因素分析  

Chronic Disease Status and Its Relevance to Risk Factors in Xihu District,Nanchang City,2011

作　　者：洪凌燕[1,2] 胡炜华[3] 周小军[4] 端翔[1,2] 占玉芬[1,2] 宴国文[5] 余国辉[5] 罗玲燕[5] 吴伟[5] 王常珍[5] 刘庆山[5] 李燕[1] 吴鸿娇[1] 

机构地区：[1]南昌大学研究生院医学部 [2]南昌330006 [3]南昌大学期刊社 [4]南昌大学公共卫生学院社会医学与卫生事业管理教研室 [5]南昌市西湖区疾病预防控制中心慢性病科

出　　处：《南昌大学学报（医学版）》2012年第12期84-89,共6页Journal of Nanchang University：Medical Sciences

基　　金：江西省卫生厅科技计划(20092037)

摘　　要：目的掌握南昌市西湖区社区居民的慢性病谱特点,通过了解慢性病相关危险因素找到西湖区疾病防控的重点,为制定西湖区慢性病防控干预计划提供依据。方法采用多阶段抽样方法,一阶段采用容量比例概率抽样方法抽取3个街道,然后采用单纯随机抽样法抽取街道内1个社区,对社区内居民进行整群调查。数据导入SPSS17.0后采用两分类应变量的Logistic回归进行分析。结果西湖区社区居民慢性病患病率为22.9%(602/2 631),慢性病疾病谱前五位为:高血压、糖尿病、冠心病、高血脂、骨质结构和密度疾患。非条件性Logistic回归分析结果提示慢性病的危险因素有:男性,年纪大的,文化程度低,月收入高,每天睡眠时间少,性格内向,人均食盐量多,有高血压、心脏病、糖尿病家族史,三餐饮食不规律,吸烟,肥胖。结论根据西湖区居民慢性病患病特点及相关危险因素现况,可结合一级"控制危险因素"、二级"治疗病人"、三级"促进康复"来控制和管理慢性病。Objective To investigate the spectrum of chronic disease among residents in Xihu District,Nanchang City,and to find the key points for disease control and prevention through analyzing the risk factors for chronic diseases,and to provide a scientific basis for making disease control strategies.Methods Data were collected by multi-stage sampling.Three streets were chosen at the first stage of sample selection with probability proportional to size(PPS) and one community was chosen by simple random sampling in each street.Cluster survey was performed among community residents.Data were analyzed with two-classification-dependent-variable Logistic regression(SPSS 17.0).Results The prevalence of chronic diseases was 22.9%(602/2 631) among residents in Xihu district.The top five chronic disease spectrums were hypertension,diabetes mellitus,coronary disease,hyperlipidemia,and bone structure and density disorders.Unconditional Logistic regression analysis showed that the risk factors for chronic diseases included male,older,lower degree of education,high monthly income,less daily sleep time,introversion,high salt intake,family history of hypertension,coronary disease and diabetes mellitus,irregular diet,smoking,and obesity.Conclusion Chronic diseases should be controlled and managed according to the chronic disease characteristics and the related risk factors in combination with the primary prevention 'risk factor control',the secondary prevention 'patient treatment' and the third prevention 'promotion rehabilitation' in Xihu District.

关 键 词：慢性病 LOGISTIC回归分析 危险因素 西湖区 南昌 

分 类 号：R195.4[医药卫生—卫生统计学]