辽宁省慢性病综合防控示范区建设效果评价  

Evaluation of the effectiveness of demonstration areas for comprehensive prevention and control of non-communicable diseases in Liaoning Province

作　　者：游弋[1] 潘磊磊[1] 丁洋 温柔[3] 张英杰 马英顺 田疆[1] YOU Yi;PAN Leilei;DING Yang;WEN Rou;ZHANG Yingjie;MA Yingshun;TIAN Jiang(Department of Chronic Disease Control and Prevention,Liaoning Provincial Center for Disease Control and Prevention,Shenyang,Liaoning Province 110005,China;不详)

机构地区：[1]辽宁省疾病预防控制中心慢性非传染性疾病预防控制所,辽宁省沈阳110005 [2]中国医科大学预防医学研究院 [3]西丰县疾病预防控制中心 [4]凌海市疾病预防控制中心

出　　处：《中国慢性病预防与控制》2023年第11期837-841,共5页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：辽宁省科学技术计划项目(2021JH4/10100059)。

摘　　要：目的通过比较辽宁省国家级慢性病综合防控示范区(示范区)与非示范区居民高血压、糖尿病患病的管理情况、健康行为养成情况,评估示范区建设效果,为推进示范区建设提供科学依据。方法于2021年应用多阶段分层整群随机抽样方法,各抽取示范区和非示范区18岁及以上居民4622和4703人进行面对面问卷调查、体格检查及实验室检测。应用SPSS 22.0软件进行χ2检验,采用多因素logistic回归模型进行多因素分析。结果示范区居民高血压患病率(23.11%)低于非示范区居民(29.17%),知晓率(57.58%)、治疗率(54.59%)和控制率(23.50%)均高于非示范区居民(分别为45.77%、41.69%和11.37%),差异均有统计学意义(P<0.01)。示范区居民与非示范区居民糖尿病患病率(分别为11.64%、12.24%)差异无统计学意义(P>0.05),示范区居民的糖尿病知晓率(54.46%)、治疗率(51.30%)和控制率(20.07%)均高于非示范区(分别为32.99%、30.03%和10.94%),差异均有统计学意义(P<0.01)。示范区居民吸烟率、有害饮酒比例均低于非示范区,二手烟暴露率、自觉限盐比例、自觉控油比例、限盐工具使用、控油工具使用、有休闲性身体活动比例、蔬菜摄入充足比例、水果摄入充足比例等指标均高于非示范区居民,差异均有统计学意义(P<0.01)。多因素logistic回归分析结果显示,在控制了年龄、性别、婚姻状况、受教育程度及职业等因素后,示范区居民患高血压风险较低(OR=0.88,95%CI:0.77~0.99),具有较高的高血压知晓率(OR=1.45,95%CI:1.20~1.76)、治疗率(OR=1.47,95%CI:1.21~1.78)、控制率(OR=1.96,95%CI:1.51~2.53)和糖尿病知晓率(OR=1.61,95%CI:1.20~2.18)、治疗率(OR=1.59,95%CI:1.17~2.15)。示范区居民吸烟(OR=0.66,95%CI:0.57~0.77)、有害饮酒(OR=0.65,95%CI:0.48~0.89)、自觉限盐(OR=3.70,95%CI:3.28~4.17)、自觉控油(OR=4.52,95%CI:3.97~5.16)、限盐工具使用(OR=4.40,95%CI:3.61~5.35)、控油工具使用(OR=3.81,95%CI:3.0Objective To assess the effectiveness of the National Demonstration Areas for Comprehensive Prevention and Control of Non-communicable Diseases(NCD demonstration areas)in Liaoning Province by comparison the hypertension and diabetes management or health behaviour of residents between NCD demonstration areas and non-NCD demonstration areas,and provide the scientific basis for construction of NCD demonstration areas.Methods The multistage stratified cluster random sampling method was used to select 4622 residents(≥18 years old)from NCD demonstration areas and 4703 residents(≥18 years old)from non-NCD demonstration areas as the subjects.The investigation was performed with face to face investigation,physical examination and lab.test.Theχ2 test and multivariate logistic regression method were used to analyze the data.The used software was SPSS 22.0.Results The morbidity(23.11%)of hypertension among residents of NCD demonstration areas was significantly lower than that(29.17%)of non-NCD demonstration areas;and the hypertension awareness rate(57.58%),treatment rate(54.59%)and control rate(23.50%)in NCD demonstration areas were significantly higher than those(45.77%,41.69%and 11.37%)in non-NCD demonstration areas(P<0.01).There was no significant difference of diabetes morbidity between NCD demonstration areas(11.64%)and non-NCD demonstration areas(12.24%),P>0.05.The diabetes awareness rate(54.46%),treatment rate(51.30%)and control rate(20.07%)in NCD demonstration areas were significantly higher than those(32.99%,30.03%and 10.94%)in non-NCD demonstration areas(P<0.01).The smoking rate and harmful drinking rate in NCD demonstration area residents were significantly lower than those in non-NCD demonstration area residents;the second smoking exposure rate,consciously limit salt proportion,consciously control oil proportion,salt restriction tool use,oil restriction tool use,recreational physical activity proportion,abundant intake proportion of vegetables and abundant intake proportion of fruits in NCD demonstration are

关 键 词：慢性病综合防控示范区 高血压 糖尿病 健康行为 

分 类 号：R197[医药卫生—卫生事业管理]