海南省成人慢性病行为危险因素聚类特征分析  

Clustering characteristic analysis of behavioral risk factors for chronic diseases among adult residents in Hainan Province

作　　者：江娟 王小焕[1] 欧婷婷[1] 蒙仕珠 陈赛苦 陈言[1] JIANG Juan;WANG Xiaohuan;OU Tingting;MENG Shizhu;CHEN Saiku;CHEN Yan(Department of Prevention and Control of Endemic and Chronic Non-infectious Diseases,Institute for Prevention and Control of Tropical Diseases and Chronic Non-infectious Diseases,Hainan Center for Disease Control and Prevention,Haikou,Hainan Province 570100,China)

机构地区：[1]海南省疾病预防控制中心热带病与慢性非传染性疾病预防控制所地方病与慢性病预防控制科,海南省海口570100

出　　处：《中国慢性病预防与控制》2023年第10期764-768,共5页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：目的了解海南省7种慢性病行为危险因素的分布特征、聚类模式及其影响因素,为慢性病的防控提供相关依据。方法利用2018年中国成人慢性病与营养监测海南省数据,最终纳入3690人分析海南省成年居民7种慢性病行为危险因素(现在吸烟、二手烟暴露、高频饮酒、蔬果摄入不足、身体活动不足、睡眠不足、超重或肥胖)的分布特征和聚类模式。采用SPSS 26.0进行χ^(2)检验,率均进行加权处理。采用有序logistic回归分析社会人口学特征对慢性病行为危险因素个数的影响。结果海南省18岁及以上居民平均有1.97个慢性病行为危险因素,排名前3位的行为危险因素分别为二手烟暴露(46.28%)、蔬果摄入不足(43.65%)、超重或肥胖(37.81%)。排名前3位的聚类模式分别为“二手烟暴露”(11.25%)、“二手烟暴露+超重或肥胖”(9.43%)和“二手烟暴露+蔬果摄入不足”(9.38%)。有序logistic回归分析结果显示,男性(OR=1.993,95%CI:1.754~2.264)、农业生产人员(OR=1.366,95%CI:1.169~1.596)、城镇居民(OR=1.271,95%CI:1.113~1.451)更易有较多的慢性病行为危险因素个数。结论海南省成年居民慢性病行为危险因素流行率较高,需针对重点人群实施多种慢性病行为危险因素综合干预。Objective To understand the distribution characteristics,clustering patterns and influencing factors of 7 behavioral risk factors of chronic diseases in Hainan Province,and provide the relative basis for the prevention and control of chronic disease.Methods The data of adult chronic disease and nutrition surveillance of Hainan Province in 2018 were used,and 3690 residents were included;the distribution characteristics and clustering patterns of 7 behavioral risk factors(recent smoking,second-hand smoking,high frequency drinking,insufficient intake of vegetable and fruit,insufficient physical action,insufficient sleeping and overweight/obesity)for chronic disease among adult residents were analyzed.The χ^(2) test and rate weighted approach were used to analyze the data.The ordered logistic regression was used to analyze the effects of social demographic characteristics on the number of behavioral risk factors for chronic diseases.The used software was SPSS 26.0.Results In Hainan Province,the residents(≥18 years old)had 1.97 behavioral risk factors for chronic diseases on average,and the top three risk factors were second-hand smoke exposure rate(46.28%),insufficient fruit and vegetable intake rate(43.65%),and overweight/obesity rate(37.81%).The top three clustering patterns were second-hand smoke exposure(11.25%),second-hand smoke exposure+overweight/obesity(9.43%)and second-hand smoke exposure+insufficient fruit and vegetable intake(9.38%).The results of ordered logistic regression analysis showed that male(OR=1.993,95%CI:1.754-2.264),agricultural production personnel(OR=1.366,95%CI:1.169-1.596),urban residents(OR=1.271,95%CI:1.113~1.451)had more number of behavioral risk factors for chronic diseases.Conclusion The morbidity rates of the behavioral risk factors for chronic diseases of adult residents in Hainan Province are higher.The comprehensive intervention of behavioral risk factors for chronic diseases should be taken for the important residents.

关 键 词：慢性病 行为危险因素 聚类 

分 类 号：R195.4[医药卫生—卫生统计学]