北京市崇文区职业人群慢性病患病情况及其危险因素  

Prevalence and risk factors of chronic diseases among occupational population in Chongwen District of Beijing City

作　　者：石红梅[1] 

机构地区：[1]北京市崇文区疾病预防控制中心健康教育所,100050

出　　处：《职业与健康》2013年第16期1987-1990,共4页Occupation and Health

摘　　要：目的了解北京市崇文区职业人群常见慢性病患病率及相关危险因素现状,以确定职业健康教育重点,为制定合理的健康促进策略提供依据。方法应用多阶段整群抽样方法,从4类职业人群中抽取350人进行问卷调查、体格测量和血生化检查。结果调查人群中高血压、糖尿病、血脂异常患病率分别为32.6%、12.6%和20.8%。呈现出随着年龄增长患病率升高的趋势,不同职业慢性病患病情况没有差别。logistic回归分析结果显示,年龄、腰围、饮酒、体重指数(BMI)、糖尿病是高血压患病的危险因素;男性、腰围超标、业余静态时间≥4 h、有慢性病家族史和糖尿病的人患血脂异常的危险性增加。结论该区应将男性、超重肥胖、腰围超标的职工作为干预的重点,加强健康教育和宣传,改善危险因素水平。[ Objective ] To understand the prevalence and risk factors of common chronic diseases among occupational population in Chongwen District of Beijing City, to identify the focus of health education, and provide evidence for formulating reasonable health education and health promotion strategies. [ Methods] A total of 350 adults aged 18-60 years were selected by multi-stage cluster sampling method for questionnaire survey, physical examination and laboratory tests. [ Results ] The prevalence rates of hyperten- sion, diabetes and dyslipidemia were 32.6%, 12.6% and 20.8% respectively. An upward trend could be seen in the prevalence of these diseases with age rising. And no statistic differences were seen in different occupation. Logistic analysis showed that the risk factors of hypertension were age, waist circumference, BMI, alcohol drinking and diabetes. The analysis also showed that men, sitting more than 4 hours per day, having a family history of chronic disease, diabetes and longer waist circumference were at high risk for dyslipidemia. [ Conclusion] The male workers overweight or obesity, with longer waist circumference should be taken as the focus of intervention. Meanwhile health education and intervention should be enhanced to against risk factors.

关 键 词：慢性病 危险因素 LOGISTIC回归 

分 类 号：R181.3[医药卫生—流行病学]