桂林市社区老年人高血压、糖尿病及相关危险因素调查分析  

Investigation on hypertension, diabetes and relevant risk factors among elderly in Guilin community

作　　者：蒋兴兴 阳冬 麦浩[2] 石武祥[3] 黄萍 李春红[2] 黄灵[2] 石瑀[2] 胡明[1] 

机构地区：[1]中南大学湘雅公共卫生学院,湖南长沙410000 [2]桂林市疾病预防控制中心,广西桂林541000 [3]桂林医学院公共卫生学院,广西桂林541000 [4]桂林市东江社区卫生服务中心,广西桂林541000

出　　处：《应用预防医学》2016年第3期206-209,共4页Applied Preventive Medicine

摘　　要：目的了解桂林市社区老年人高血压、糖尿病及其危险因素流行情况。方法采用多阶段分层整群抽样方法,对桂林市城区15个居委会中≥60岁1 348名老年居民进行问卷调查和体格检查,了解其高血压、糖尿病患病情况,采用非条件logistic回归分析其相关危险因素。结果桂林市社区老年人高血压及2型糖尿病患病率分别为55.12%和12.61%,老年人超重、肥胖、向心性肥胖、吸烟、饮酒、缺乏锻炼等比率分别为32.27%、8.46%、59.79%、16.42%、18.38%和21.21%。Logistic回归分析,老年人高血压的主要影响因素有年龄、中心性肥胖、超重肥胖、离婚、身体锻炼和水果摄入等;糖尿病的主要影响因素有超重肥胖、吸烟、缺少锻炼等。结论桂林市社区老年人高血压、糖尿病患病率处于较高水平,超重和肥胖是主要危险因素。开展社区老年人慢性病综合干预和健康管理,对改善老年人健康水平、提高生活质量具有重要意义。Objective To explore the epidemic status and risk factors of hypertension,diabetes and relevant risk factors among elderly residents in Guilin community. Methods A multi-stage randomized cluster sampling method was used to select the participants. Data on health status were collected by a face-to-face questionnaire surrey and physical examination. Results Among the 1348 residents aged 60 gears and over selected from Guilin City, the prevalence rate s of hypertension and diabetes were 55.12% and 12.61% respectively. The proportion of overweight, obesity, central obesity, smoking, drinking, less exercise were 32.27%,8.46%,59.77%,16.42%,18.38%and21.21% respectively.The results of logistic regression analysis showed age, central obesity, overweight and obesity, divorce, exercise and fruit intake were the major affecting factors of hypertension, overweight and obesity, quit smoking, exercise were the major affecting factors of diabetes. Conclusion Prevalencerates of hypertension and diabetes among elderly were at a high level in Guilin community, the major risk factors were overweight and obesity. Community comprehensive intervention and heath management for elderly are of great significance in increasing heath level and improvig quality of life.

关 键 词：老年人 高血压 糖尿病 危险因素 LOGISTIC回归分析 

分 类 号：R544.1[医药卫生—心血管疾病]