西安市某社区女性居民行为因素与常见慢性病关系研究  

Relationship between behavior factors and chronic diseases in female community residents in Xi'an City

作　　者：杨宇轩[1] 王亚峰[1] 赵晓丹[1] 王文宇[1] 杨运辉[1] 于燕[1] 

机构地区：[1]西安交通大学公共卫生学院,陕西西安710061

出　　处：《中国妇幼健康研究》2015年第4期712-714,共3页Chinese Journal of Woman and Child Health Research

基　　金：2013年国家级大学生创新训练资助项目(NO.201310698063);2012年西安交通大学大学生实践基金资助项目(No.22012189)

摘　　要：目的了解西安市某社区女性行为因素,揭示其行为影响因素与常见慢性病的关系。方法采用横断调查设计,随机整群抽样,对西安市某社区1 877户居民15岁以上常住人口进行问卷调查。结果该社区女性不吃早餐、运动不足、喜食重盐和烟熏食物人群比率分别为5.42%、30.14%、13.64%和5.04%。常见慢性疾病为高血压、糖尿病、冠心病和脑卒中,患病率分别为15.93%、4.72%、1.75%、2.22%,其慢性病患病率随着年龄的增加而增高,30岁后的慢性病患病率增加更为明显,且糖尿病与高血压的患病呈明显的正相关性(r=0.998,P=0.002)。高龄、文化程度越高(静坐工作时间长)、BMI>24kg/m^2是该社区女性居民高血压的主要危险因素[OR(95%CI)分别为1.095(1.08,1.111)、2.464(1.214,5.001)、2.287(1.535,3.407),均P<0.05]。高龄是该社区居民糖尿病的主要危险因素[OR(95%CI)为1.072(1.049,1.096),P<0.05]。高龄、运动不足是该社区居民患脑卒中的主要危险因素[锨(95%CI)分别为1.097(1.064,1.132)、9.288(2.326,33.427),均P<0.05],而低盐饮食是脑卒中的保护因素[OR(95%CI)为0.338(0.167,0.687),P<0.05]。高龄、BMI>24、乳制品摄入较少、静态行为时间>6h、运动不足是该社区女性居民常见慢性病发病的主要危险因素[OR(95%CI)分别为1.103(1.077,1.130)、1.852(1.184,2.896)、1.137(1.098,1.186)、1.424(1.187,1.961)、1.763(1.176,2.693),均P<0.05],而每日蔬菜水果量>400g则是防控该社区居民常见慢性病发病的主要保护因素(OR=0.460,P<0.05)。结论高龄、BMI>24、静态行为时间长、运动不足是该社区女性居民慢性病患病的主要危险因素,每日摄入400g以上蔬菜水果、低盐饮食是其有效的保护因素。Objective To study the behavior factors of the females in a community in Xi＇ an City and discover the relationship between these factors and chronic diseases in females.Methods Cross-section survey design and random cluster sampling were used to conduct the questionnaire survey among residents aged 15 and above in 1 877 families in the community.Results The proportions of the females with breakfast skipping, exercise refusing, favoring salty food and smoked foods were 5.42%, 30.14%, 13.64% and 5.04%, respectively. The common chronic diseases of the female residents in the community were hypertension, diabetes, coronary heart disease and stroke, and their morbidity rates were 15.93%, 4.72%, 1.75% and 2.22%, respectively.With the age increasing, the prevalence of chronic diseases increased, and the increasing after 30 years old was significant.An obvious correlation existed between the prevalence of diabetes and hypertension （ r=0.998, P=0.002） .The major risk factors of hypertension of the female residents in the community were advanced age, higher education （longer sedentary work time） and BMI〉24 [OR （95%CI） was 1.095（1.08, 1.111）, 2.464（1.214, 5.001） and 2.287（1.535, 3.407）, respectively,P〈0.05].Advanced age was the main risk factor of diabetes [OR （95%CI） was 1.072 （1.049, 1.096）, P〈0.05].Advanced age and lack of exercise were the main risk factors of stroke [OR （95%CI） was 1.097（1.064, 1.132） and 9.288（2.326, 33.427）, respectively,P〈0.05], while light salinity food was the protective factor of stroke [OR （95%CI） was 0.338（0.167, 0.687）,P〈0.05].Advanced age, BMI〉24, less dairy consumption, time of static behavior〉6 hours and lack exercise were the main risk factors of chronic diseases of the female residents in the community [OR （95%CI） was 1.103（1.077, 1.130）, 1.852（1.184, 2.896）, 1.137（1.098, 1.186）, 1.424（1.187, 1.961） and 1.763（1.176, 2.693）, respectively, all P〈0.05].Daily vegetable intake〉400g was the major pro

关 键 词：社区 女性居民 行为因素 慢性病 

分 类 号：R173[医药卫生—妇幼卫生保健]