中山市某镇居民慢性非传染性疾病及其相关危险因素调查分析  

Survey on the prevalence and risk factors of non-communicable disease in a town of Zhongshan city

作　　者：夏生林[1] 舒波[1] 罗乐[1] 张瑞红[1] 吴海东[1] 范木耿[1] 

机构地区：[1]中山市疾病预防控制中心防疫科,广东528403

出　　处：《社区医学杂志》2013年第19期61-64,共4页Journal Of Community Medicine

摘　　要：目的对中山市某镇居民慢性非传染性疾病（慢性病）及其相关危险因素进行调查，为有针对性开展社区干预和制订防控措施提供依据。方法2012年9-12月按照多阶段分层随机抽样的方法，在中山市某镇抽取4个村（居委会），每村（居委会）抽取1-2个居民小组（自然村），抽取常住人口400名，按照《成人慢病及其危险因素监测调查表》进行调查。调查内容包括居住人口学、吸烟情况、饮酒情况、体育活动与锻炼、饮食情况、体重控制、慢性病相关知识的知晓率、居民血压、血糖、血脂水平以及慢性病的患病情况等。计数资料采用矿检验，慢性病相关危险因素进行单因素分析，将单因素分析有意义的暴露因素引入多因素Logistic回归模型，P〈0．05为差异有统计学意义。结果400名调查对象慢性病患病率为23．25％，由高到低依次为高血压12．25％、慢性阻塞性肺疾病（chronic obstructive pulmonary disease, COPD）10．25％、哮喘7．50％、糖尿病2．75％、脑卒中1．25％、心肌梗死0．50％。18—45岁患病率4．93％，45～69岁患病率46．32％，比较差异有统计学意义（χ^2=94．75，P〈0．05）。男性吸烟率、被动吸烟率、饮酒率（63．27％、13．78％、35．86％）与女性（2．94％、29．90％、4．90％）比较差异均有统计学意义（χ^2=165．81、15．15、60．73，均P〈0．05）。18～45岁超重率14．80％，肥胖率0．90％；45—69岁超重率27．12％，肥胖率5．08％，比较差异均有统计学意义（χ^2=9．28、4．98，均P〈0．05）。18—45岁参加体育锻炼〉30min／d的7．17％，45～69岁参加体育锻炼〉30min／d的13．56％，比较差异有统计学意义（χ^2=4．47，P〈0．05）。有慢性病家族史中调查者慢性病患病率36．62％；无慢性病家族史中调查者慢性病患病率20．36％，比较差异有统计学意义（χ^2=8．65，P〈0．Objective To investigate the prevalence and risk factors of non-communicable chronic disease （NCDs） among residents of a town of Zhongshan city,so as to provide a basis for carrying out community-based Stratified random sampling method was used to choose 400 residents from 4 villages with 1-2 residents groups extracted from each village from September to December in 2012.A survey was conducted based on ＂Questionnaire of chronic disease and its risk factor in adults＂,including residential demography,smoking, alcohol use,physical activity and exercise, diet,weight control,the awareness rate of chronic disease,blood pressure, blood glucose, blood lipid levels and the prevalence of NCDs.Count data were processed with χ^2 test,and related risk factors with univariate analysis.The exposure factors found by univariate analysis were led into multivariate logistic regression model,the result of P〈0.05 indicated significant difference.Results The prevalence rate of NCDs for 400 subjects was 23.25%,including hypertension（12.25%）,COPD（lO.25%）,asthma（7.50%）,diabetes mellitus（2.75%）,stroke （1.25%） and my,mardial infraction（0.50%）.The prevalence rate of NCDs was 4.93% for those aged 18-45,and 46.32% for those aged 45-69,the difference wasstatistically significant （χ^2=94.75,P〈0.05）.The rate of smoking,passive smoking, alcohol drinking for males was 63.27%,13.78% and 35.86% respectively,and 2.94%,29.90% and 4.9% respectively for females.There was statistically significant differenee（χ^2=165.81,15.15,60.73,P〈0.05）.The rate of overweight, obesity was 14.80% and 0.90% respectively for those at the age of 18-45 years,and 27.12% and 5.08%respectively for those at the age of 45-69 years.There was statistically significant difference （χ^2=9.28,4.98,P〈0.05）.There was 7.17% of those at the age of 18-45 years who participated in physical exercise over 30 min every day and 13.56% of those at the age of 45-69 years.The difference was statistically significant （χ^2=4.47,P〈0.05）.T

关 键 词：慢性非传染性疾病 危险因素 不良行为 生活方式 

分 类 号：R195.4[医药卫生—卫生统计学]