河北省某山区建档立卡贫困人口健康相关慢性病/伤残调查  

Chronic disease or disability among poverty population who are established record in a mountainous area,Hebei

作　　者：刘卫刚[1] 高红旗[1] 许忠新 张洪亮[1] 王琳[2] 刘少军 史文宗[4] LIU Wei-gang;GAO Hong-qi;XU Zhong-xin;ZHANG Hong-liang;WANG Lin;LIU Shao-jun;SHI Wen-zong(Affiliated Hospital of Hebei University of Engineering,Handan,Hebei 056002,China)

机构地区：[1]河北工程大学附属医院,河北邯郸056002 [2]河北医科大学第三医院,河北石家庄050051 [3]邯郸市中心医院,河北邯郸056001 [4]秦皇岛市第一医院,河北秦皇岛066000

出　　处：《现代预防医学》2020年第5期861-864,921,共5页Modern Preventive Medicine

基　　金：河北省医学科研研究课题项目(课题编号:20190126)。

摘　　要：目的探讨河北省某山区建档立卡贫困居民慢性病或伤残检出率分布状况,为该地区慢性病或伤残防治提供策略依据。方法随机整群抽取某乡建档立卡贫困人口5259人,对研究人群进行不同性别常见慢性病或伤残检出率比较、不同年龄层检出率趋势分析、共病情况分析。结果研究人群慢性病或伤残检出率26.30%(男:28.27%,女:23.07%);肥胖、高血压、糖尿病、血脂异常和伤残的检出率分别为10.02%、7.57%、2.97%、22.21%和4.43%;男性和女性的慢性病或伤残检出率随着年龄的增大而升高(男:χ^2=740.546,P<0.001;女:χ^2=538.738,P<0.001);男性与女性慢性病或伤残检出率随着共病数量的增加呈降低趋势(男:χ^2=399.302,P<0.001,女:χ^2=274.733,P<0.001)。结论河北省山区建档立卡贫困人口慢性病或伤残检出率较高,提升基层卫生服务能力仍需要加强、助推利贫政策发挥实效。Objective To explore the distribution of chronic disease or disability detection rate of residents who are established record in a mountainous area of Hebei Province,and to provide strategic basis for the prevention and treatment of chronic disease or disability.Methods A total of 5,259 poor people in a township were selected from a random cluster,and the detection rates of common chronic diseases or disability of both sexes,detection trends of different age groups and comorbidities were analyzed.Results The detection rate of chronic disease or disability in the study population was 26.30%(male:28.27%,female:23.07%).The detection rates of obesity,hypertension,diabetes,dyslipidemia and disability were 10.02%,7.57%,2.97%,22.21%and 4.43%,respectively.The detection rate of chronic disease or disability increased with age(male:χ^2=740.546,p<0.001,female:χ^2=538.738,p<0.001).The detection rate of chronic disease or disability decreased with the increase of the number of comorbidity(0,1,2,3,≥4)in males and females(male:χ^2=399.302,p<0.001,female:X2=274.733,p<0.001).Conclusion A mountainous area in Hebei Province has a high detection rate of chronic diseases or disability among the poor population,so it is still necessary to strengthen the capacity of grassroots health services and boost the effectiveness of poverty policy.

关 键 词：慢性病 肥胖 高血压 糖尿病 伤残 

分 类 号：R195[医药卫生—卫生统计学]