新疆阿合奇县居民常见慢性病患病现状及影响因素  

The prevalence and influencing factors of common chronic diseases among residents in Aheqi County,Xinjiang

作　　者：阿力米热·阿布迪热依木 苏银霞[1] 呼聪慧 李媛媛[1] 姚华[2] ALIMIRE Abudireyimu;SU Yin-xia;HU Cong-hui;LI Yuan-yuan;YAO Hua(College of Public Health,Xinjiang Medical University,Urumqi,Xinjiang 830011,China;School of Health Management,Xinjiang Medical University,Urumqi,Xinjiang 830011,China)

机构地区：[1]新疆医科大学公共卫生学院,新疆乌鲁木齐830011 [2]新疆医科大学健康管理学院,新疆乌鲁木齐830011

出　　处：《中国热带医学》2022年第12期1113-1118,共6页China Tropical Medicine

基　　金：国家自然科学基金项目(No.81960608)。

摘　　要：目的了解新疆阿合奇县柯尔克孜族居民主要慢性病的患病情况及其影响因素,为该地区居民慢性病的预防和控制提供给理论依据。方法选取新疆克孜勒苏柯尔克孜自治州阿合奇县2020年参与全民健康体检的≥18岁柯尔克孜族常住居民作为调查对象,采用新疆全民健康体检问卷对调查对象进行问卷调查、体格检查和实验室检测,通过Logistic回归模型分析主要慢性病患病情况及其影响因素。结果共纳入21935人,有10602人患慢性病,慢性病患病率为48.33%,其中高血压4929例、患病率22.47%,肥胖4238例、患病率19.32%,血脂异常3610例、患病率16.46%,贫血1632例、患病率7.44%,2型糖尿病1236例、患病率5.63%。高血压、肥胖、血脂异常和2型糖尿病患病率随着年龄的增长而增长,贫血患病率随着年龄的增长而降低(均P<0.01)。高血压、血脂异常和2型糖尿病的患病率男性高于女性,肥胖和贫血的患病率女性高于男性,差异均有统计学意义(P<0.01)。Logistic回归分析结果显示,30~<40岁(OR=1.836,95%CI:1.565~2.034),40~<50岁(OR=2.916,95%CI:2.613~3.255),50~<60岁(OR=5.244,95%CI:4.651~5.913),≥60岁(OR=10.866,95%CI:9.533~12.385),政府机关人员(OR=1.789,95%CI:1.405~2.279),专业技术人员(OR=1.774,95%CI:1.372~2.295),办公人员(OR=1.923,95%CI:1.418~2.607),偶尔饮酒(OR=1.157,95%CI:1.055~1.270),偶尔锻炼(OR=1.498,95%CI:1.238~1.812)均是患慢性病的危险因素。结论新疆阿合奇县居民慢性病患病率处于较低水平,当地相关健康机构加大对多发慢性病的健康教育宣传和中青年女性贫血的防控。Objective To understand the prevalence and influencing factors of major chronic diseases among Kirgiz residents in Aheqi County,Xinjiang,and to provide theoretical basis for the prevention and control of chronic diseases in this area.MethodsThe data of residents in Aheqi County,Kizilsu Kirgiz Autonomous Prefecture,Xinjiang in 2020 for health checkup were selected,and the permanent residents of Kirgiz nationality aged≥18 were selected as the survey objects,and the prevalence of major chronic diseases and their influencing factors were analyzed by Logistic regression model.ResultsA total of 21935 patients were enrolled,and 10602 patients suffered from chronic diseases with a prevalence rate of 48.33%,including 4929 cases of hypertension with a prevalence rate of 22.47%,4238 cases of obesity with a prevalence rate of19.32%,3610 cases of dyslipidemia with a prevalence rate of 16.46%,1632 cases of anemia with a prevalence of 7.44%,and1236 cases of type 2 diabetes with a prevalence of 5.63%.The prevalence of hypertension,obesity,dyslipidemia and type 2diabetes increased with age,while the prevalence of anemia decreased with age(P<0.01).The prevalence of hypertension dyslipidemia and type 2 diabetes was higher in males than in females,and the prevalence of obesity and anemia was higher in females than in males,with statistical significance(P<0.01).Logistic regression analysis showed that 30-<40 years old(OR=1.836,95%CI:1.565-2.034),40-<50 years old(OR=2.916,95%CI:2.613-3.255),50-<60 years old(OR=5.244,95%CI:4.651-5.913),60 years old and above(OR=10.866,95%CI:9.533-12.385),government personnel(OR=1.789,95%CI:1.405~2.279),professional and technical personnel(OR=1.774,95%CI:1.372-2.295),the office staff(OR=1.923,95%CI:1.418-2.607)occasional alcohol consumption(OR=1.157,95%CI:1.055-1.270)and occasional exercise(OR=1.498,95%CI:1.238-1.812)were risk factors for chronic disease.ConclusionThe prevalence of chronic diseases among residents in Aheqi County of Xinjiang is at a low level.Local health institutions have strengthene

关 键 词：慢性病 患病率 患病现状 影响因素 

分 类 号：R195.4[医药卫生—卫生统计学]