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目的了解辽宁省城市居民慢性病的患病现况及其相关的危险因素,为制定适合该省的慢性病防治策略提供依据。方法以2016年辽宁省慢性病及其行为危险因素调查数据为基础,采用多阶段分层随机整群抽样的方法,对辽宁省30 953名城市居民进行了问卷及体格检查,内容包括人口学特征、生活行为方式及健康状况等,并对调查对象进行身高、体重、腰围、血压及血糖测量。应用SPSS 13.0统计软件进行χ2检验。用多因素非条件logistic回归模型对慢性病患病的相关因素进行分析。结果辽宁省城市居民慢性病总患病率为39.25%,慢性病共患病患病率为15.46%。患病率位于前5位的慢性病依次为高血压(26.59%)、糖尿病(11.66%)、血脂异常(6.53%)、颈腰部疾病(5.72%)及骨关节疾病(2.47%)。年龄(30~、45~和60~岁OR值分别为1.868、4.706和11.610)、受教育程度(大专及以上OR值为0.840)、收入水平(中等收入水平OR值为0.661)、超重和肥胖(OR值分别为1.556和3.085)、吸烟(OR=1.234)、饮酒(OR=1.259)、食用油摄入(OR=1.214)及身体活动量(OR=0.854)是影响辽宁省城市居民慢性病患病的相关因素。结论辽宁省城市居民慢性病患病率较高,慢性病共患病情况较为常见。中老年、受教育程度低、收入过低或过高、超重或肥胖及具有不良生活方式人群慢性病患病风险较高,是慢性病防治的重点人群。
Objective To understand the prevalence and related risk factors of chronic diseases among urban residents in Liaoning Province, and to provide basis for formulating chronic diseases prevention and treatment strategies suitable for the province. Methods Based on the survey data of chronic diseases and behavioral risk factors in Liaoning Province in 2016, a multistage stratified randomized cluster sampling method was used to conduct a questionnaire and physical examination of 30 953 urban residents in Liaoning Province, including demographic characteristics, Life behavior and health status, etc., and height, weight, waist circumference, blood pressure, and blood glucose were measured on the subjects. SPSS 13.0 statistical software was used for χ2 test. Multivariate non-conditional logistic regression models were used to analyze the related factors of chronic diseases. Results The prevalence of chronic diseases in urban residents in Liaoning Province was 39.25%, and the prevalence of chronic diseases was 15.46%. The highest rates of prevalence in the top 5 were hypertension (26.59%), diabetes (11.66%), dyslipidemia (6.53%), cervical and lumbar disease (5.72%), and osteoarthritis (2.47%). Age (ORs of 30, 45, and 60~years were 1.868, 4.706, and 11.610, respectively), education level (advanced at college and above, 0.840), income level (OR of 0.661 at middle-income level), overweight, and obesity (OR values of 1.556 and 3.085), smoking (OR=1.234), drinking (OR=1.259), edible oil intake (OR=1.214), and physical activity (OR=0.854) are chronic diseases affecting urban residents in Liaoning Province. Disease related factors. Conclusion The prevalence of chronic diseases is high in urban residents of Liaoning Province, and the comorbidity of chronic diseases is more common. The risk of chronic diseases is high among the middle-aged and elderly, low-educated, over-low or over-high, overweight or obese, and people with unhealthy lifestyles, and it is a key population for the prevention and treatment of chronic diseases.