济宁市众和社区慢性病患病状况及影响因素  

Prevalence and influencing factors of chronic diseases among residents in Zhonghe community of Jining city

作　　者：郭立燕[1] 崔平 山寨 刘苗苗 任新华 翟敏[1] GUO Liyan;CUI Ping;SHAN Zhai;LIU Miaomiao;REN Xinhua;ZHAI Min(School of Public Health of Jining Medical University,Jining 272013,China;Primary Health Department,Rencheng District Health and Health Bureau,Jining 272000,China)

机构地区：[1]济宁医学院公共卫生学院,济宁272013 [2]济宁市任城区卫生健康局基层卫生科,济宁272000

出　　处：《济宁医学院学报》2024年第5期420-424,共5页Journal of Jining Medical University

基　　金：济宁市科技发展计划项目(医药卫生类)(2016-56-40);山东省中美体育经济与健康工程合作研究中心开放课题(SDCA20191019)。

摘　　要：目的了解济宁市众和社区居民慢性病患病情况,分析其影响因素,为慢性病的防控提供科学的依据。方法采用描述性流行病学研究的方法,进行两阶段抽样,先在济宁市众和社区随机抽取一定数量的居委会,再从抽中的居委会中按确定的间距抽取家庭,对抽中的样本家庭中实际居住的全体成员进行面对面问卷调查。采用多因素非条件logistic回归分析探讨慢性病的影响因素。结果众和社区居民慢性病患病率为35.8%(901/2517),其中男性为34.2%(414/1207),女性为37.1%(482/1300),二者差异无统计学意义(χ^(2)=2.102,P=0.147)。随着年龄的增长,慢性病的患病率上升(χ^(2)趋势=843.777,P<0.001)。患病率排名前8位的依次为高血压(27.73%)、糖尿病(11.20%)、心脏疾病(6.63%)、脑血管病(3.30%)、高血脂(3.10%)、肿瘤(0.28%)、肾脏疾病(0.24%)、甲状腺疾病(0.16%);多因素分析进入模型的因素有年龄≥40岁、体育锻炼、超重或肥胖、吸烟等。结论济宁市众和社区居民慢性病患病率较高,威胁居民健康的主要慢性病为高血压、糖尿病、心脏病、脑血管疾病;年龄≥40岁、体育锻炼、超重或肥胖、吸烟是主要的影响因素。Objective To study prevalence and the factors of chronic diseases in Zhonghe community of Jining City,so as to provide scientific basis for the prevention and control of chronic diseases.Methods The descriptive epidemiology method was conducted.Two-stage sampling was used.A certain number of residential committees were randomly selected from Zhonghe community of Jining city,and then families were sampled from the selected residential committees according to certain spacing extraction.Face to face questionnaire survey was done on the the actual residents of the sampled family.The influencing factors of chronic diseases were explored by multivariate unconditional Logistic regression.Results The pvevalence rate of chronic diseases was 35.8%(901/2517)of the participants,and the male was 34.3%(414/1207),the female was 37.1%(482/1300),the difference was not statistically significant(χ^(2)=2.102,P=0.147).The prevalence of chronic diseases increases with age(χ^(2)trend=843.777,P<0.001).The prevalence of chronic diseases ranks were hypertension(27.73%),diabetes(11.20%),heart disease(6.63%),cerebrovascular disease(3.30%),dyslipidemia(3.10%),cancer(0.28%),kidney disease(0.24%),thyroid disease(0.16%).Factors included in the multivariate analysis mode were age≥40 years old,physical exercise,overweight or obesity,smoking and so on.Conclusion The prevalence of chronic diseases was high in Zhonghe community of Jining City.The major chronic diseases were hypertention,diabetes,heart disease,cerebrovascular disease.The influence factors of chronic diseases were old age,overweight or obesity,smoke,etc.

关 键 词：慢性病 患病率 影响因素 

分 类 号：R544.1[医药卫生—心血管疾病]