乡镇社区居民慢性病现况及其与生活方式和行为习惯相关的危险因素调查  

Study on Prevalence of Chronic Disease and Related Risk Factors about Behavior and Lifestyle among Community Residents in Jing'an County

作　　者：占玉芬[1] 陈伟高[1] 阮世颖[1] 周小军[1] 端翔[1] 邓琼[1] 

机构地区：[1]南昌大学公共卫生学院,江西省南昌市330006

出　　处：《中国全科医学》2013年第29期3453-3456,共4页Chinese General Practice

摘　　要：目的了解江西省靖安县社区居民慢性病患病情况及生活方式和行为习惯,分析慢性病的相关危险因素,为该地区社区居民养成良好的生活方式和行为习惯提供理论依据。方法 2012年7—9月,采用分层整群抽样法抽取靖安县常住居民2 868例为调查对象,采用自行设计的调查问卷收集其人口学资料、慢性病患病情况及与慢性病相关的生活方式和行为习惯。进行单因素分析和非条件Logistic回归分析。结果 2 868例社区居民中罹患慢性病者627例(慢性病组),未罹患慢性病者2 241例(非慢性病组),实际患病率为218.62‰,标化患病率为230.82‰。单因素分析结果显示,慢性病组与非慢性病组健康体检频率、食品标签知晓率、刷牙次数比较,差异均有统计学意义(P<0.05)。非条件Logistic回归分析结果显示,健康体检频率低(<1次/5年)、刷牙次数少(<3次/d)、体力活动少(<6千步当量/d)、每天睡眠时间少(<7 h)进入回归方程(P<0.05)。结论靖安县社区居民慢性病患病率较高,健康体检频率低、刷牙次数少、体力活动少、每天睡眠时间少是其慢性病的危险因素,应逐步建立和完善与人群健康行为习惯相关的危险因素监测系统。Objective To investigate the prevalence of chronic disease and related risk factors about behavior and life- style among residents in Jing＇an County, Jiangxi Province, consequently provide theory guidance for building good behavior and lifestyle among community residents in the county. Methods From July to September 2012, 2 868 permanent residents from Jing＇an County were randomly selected as respondents with stratified cluster sampling method. Self - made questionnaire was used to collect demographic data, prevalence of chronic disease and related risk factors about behavior and lifestyle. Univariate analy- sis and non - conditional Logistic regression were used to analysis the relevant factors. Results Among the 2 868 residents, 627 cases had chronic disease （chronic disease group） , 2 241 cases did not have chronic disease （non -chronic disease group） , the chronic disease prevalence was 218. 62%0, and standardized prevalence was 230. 82%~. According to univariate analysis re- suits, there were significant differences between the two groups in terms of frequency of physical examination, brushing frequency and the rate of food label awareness （ P 〈 0. 05 ）. Multiple Logistic stepwise regression analysis suggested that less physical exami- nation frequency （less than once per five years） , less brushing frequency （less than three times per day） , lack of physical ac- tivity （ less than six thousand steps per day）, lack of sleep （ less than seven hours per day） were the risk factors for chronic dis- eases. Conclusion The prevalence of chronic diseases is high among community residents in Jing＇an County, and related risk factors about behavior and lifestyle include low physical examination and brushing frequency, lack of physical activity and sleep, surveillance system for healthy habits related risk factors should be built and completed.

关 键 词：慢性病 生活方式 习惯 危险因素 行为疗法 

分 类 号：R195[医药卫生—卫生统计学]