广州市南沙区农村中老年男性健康现状调查  

Investigation on the health status among middle-aged and old males in the rural areas of Nansha District in Guangzhou City

作　　者：左连东 屈艳霞 耿可亭 郭瑞珍 莫凌红 李红钢[3] 官黄涛[3] 唐林国 

机构地区：[1]广州市妇女儿童医疗中心,广东广州510623 [2]广州市南沙区榄核镇人口和计划生育服务中心,广东广州511480 [3]华中科技大学同济医学院计划生育研究所,湖北武汉430030

出　　处：《中国医药导报》2017年第21期61-65,共5页China Medical Herald

基　　金：国家"十二五"科技支撑计划项目(2012BAI32B00);广东省人口计生委科研项目(2012106);广东省广州市医药卫生科技项目(20161A011120)

摘　　要：目的开展农村地区中老年男性健康现状调查,为中老年男性保健服务模式提供数据支持。方法于2014年12月~2015年11月期间采用整群抽样方法在广州市南沙区6个农村开展了中老年男性健康现状调查及普查,选取40~79岁中老年男性1134人,签署知情同意书,开展健康问卷调查、健康体检。结果 (1)40~79岁中老年男性中吸烟、饮酒、高嘌呤饮食人群比例较高,健康意识较差,缺乏对自我健康状况的正确评价及认识。(2)当地中老年男性中肥胖症、高血压、高三酰甘油、高胆固醇、高尿酸血症、疑似和确诊糖尿病比例均较国内报道水平高,分别为12.88%(按BMI标准)、40.79%、22.65%、73.98%、43.19%、11.15%。(3)前列腺钙化灶检出率、良性前列腺增生(BPH)、PSA筛查阳性率分别为26.31%、14.20%、5.06%,随着年龄增加的特征与国内外报道一致,但也具有地区特征。结论针对严重危害男性中老年健康的常见病、慢性病、具有地区特征的高发疾病,通过问卷和常规普查,可以为今后开展健康教育及制订中老年男性保健相关服务措施提供循证医学依据。Objective To carry out the investigation on the status of middle-aged and old males in rural areas, and provide data support for middle-aged and old males health service model. Methods A cluster sampling method was used to investigate the current situation of middle-aged and old males in 6 villages of Nansha District in Guangzhou from December 2014 to Novembe 2015. 1134 people aged 40-79 years were selected and signing the informed consent,established archives for family health in health questionnaire, physical examination. Results① The proportions of smoking, drinking and high purine diet in men aged 40-79 years were higher, due to poor health awareness and lack of proper evaluation and cognition of self-health.②The physical examination showed that the proportions of obesity, hypertension, hypertriglyceridemia, high cholesterol, hyperuricemia and diabetes mellitus among the middle-aged and old males were higher than other reported, which was 12.88%（according to BMI standards）, 40.79%, 22.65%, 73.98%,43.19%, 11.15% respectively.③The detection rate of prostate calcification, the incidence of BPH and the positive rate of PSA was 26.31%, 14.20% and 5.06%, respectively. The characteristics increased with age were consistent with those reported at home and abroad, but it also had regional characteristics. Conclusion For serious health hazard of common diseases, chronic diseases, diseases with regional characteristics among middle-aged and old males, through the questionnaire and routine census, can provide evidence-based medical basis for carrying out health education and development of health care-related services among middle-aged and old males.

关 键 词：中老年男性 调查 健康 

分 类 号：R195.4[医药卫生—卫生统计学]