居民高血压、糖尿病及知信行社区干预效果评价  

Effects of 11 years’ community intervention on hypertension,diabetes and KAP of the diseases among urban residents

作　　者：张磊[1] 史中锋[2] 迟阿鲁[2] 赵仲堂[1] 

机构地区：[1]山东大学公共卫生学院流行病与卫生统计学研究所,山东济南250012 [2]济南市槐荫区疾病预防控制中心

出　　处：《中国公共卫生》2013年第4期608-611,共4页Chinese Journal of Public Health

摘　　要：目的探讨社区干预11年对城区居民高血压和糖尿病患病率及知信行(KAP)影响,为进一步完善慢性病社区干预模式提供理论依据。方法采用多阶段抽样方法于1999年1月对慢性病综合防治示范点山东省济南市槐荫区≥15岁常住居民作进行基线调查,通过控盐、控烟、平衡膳食和推动全民健身等措施进行了11年的慢性病综合社区干预,于2010年5月再次以相同方法进行慢性病及相关KAP调查,对2次调查居民慢性病患病率及相关KAP得分进行比较。结果 1999和2010年分别获得有效问卷1 998、2 042份;1999年调查槐荫区≥15岁常住居民高血压患病率为16.3%,糖尿病患病率为3.1%,2010年高血压患病率为25.6%,糖尿病患病率为7.3%,均有升高(P<0.05);1999年居民慢性病KAP平均得分(27.94±6.95)分,2010年慢性病KAP平均得分(30.62±7.98)分,2010年较1999年提高了2.68分(t=11.397,P<0.001)。结论≥15岁居民高血压和糖尿病患病率均有所增长,慢性病相关KAP得分提高。Objective To explore the impact of 11 years＇ community intervention on chronic diseases and knowledge, attitude, and practice （KAP） about the diseases among urban population and to provide reference for improvement of chronic disease community intervention. Methods Multi-stage sampling method was used to randomly select residents aged 15 years and above in Huaiyin district,Ji＇nan city in 1999. Two surveys with face-to-face interviews were carfled out among the residents before and after the 11 years＇ community intervention on chronic diseases from 1999 to 2010. Results A total of 1 998 and 2 042 valid questionnaires were collected in 1999 and 2010 ,respectively. Hypertension prevalence rate was 16. 3% and diabetes prevalence rate was 3.1% in 1999. But the rates increased significantly to 25.6% and 7.3% in 2010 （P〈0.05）. The average KAP scores was 27.94±6.95 in 1999 and 30.62±7.98 in 2010, with a siginificant increase （t = 11.397, P〈0.001）. Conclusion Prevalence rates of hypertension and diabetes increased among the residents aged 15 years and above in Ji＇ nan city,and KAP score increased by 2.68 from 1999 to 2010. Community intervention is an effective way for chronic disease control and prevention.

关 键 词：慢性病 社区干预 知识 态度和行为(KAP) 高血压 糖尿病 

分 类 号：R544.1[医药卫生—心血管疾病]