吉林省成年居民关节炎患病现况及其影响因素分析

目的：了解吉林省成年居民关节炎的患病现况及其影响因素，为制定有效干预措施提供依据。方法：以吉林省18~79周岁的常住居民为调查对象，采用多阶段分层随机整群抽样的方法，选取吉林省9个市（州）共32个区/市/县的23　050名居民进行面对面的问卷调查及体格检查。采用复杂加权的方法估计关节炎的患病率及95%可信区间(95%CI)，并应用Logistic回归分析其相关的影响因素。结果：吉林省成年居民关节炎患病率为7.0%，其95%CI：6.6%~7.3%。不同年龄组的关节炎患病率比较差异有统计学意义（P<0.001），且65~79岁年龄组患病率高，18~岁年龄组患病率低；农村成年居民关节炎患病率高于城镇成年居民（P<0.001）；女性成年居民关节炎患病率高于男性成年居民（P<0.001）。Logistic回归分析结果，关节炎患病的危险因素包括农村、高龄（65~79岁年龄段人群）、女性、猪牛羊肉及禽肉食用频率少和有慢病家族史，其优势比(OR)和95%CI分别为1.291(1.120~1.486)、22.230(6.864~72.002)、1.752(1.487~2.064)、1.251(1.065~1.470)和1.403(1.231~1.600)。结论：吉林省成年居民关节炎患病率高于以往相关报道，应加强对高龄、女性、农村人口、家庭人均月收入低和有慢性病家族史等群体的健康关注和干预。

Prevalence and influencing factors of arthritis in adults in Jilin province

Objective To investigate the current situation of arthritis and its influencing factors in the adults in Jilin province and to provide the basis for making effective intervention measures.Methods
With multi-stage stratified cluster sampling，23 050 people aged between 18 and 79 years were selected from nine states(a total of 32 areas) of Jilin province and the data of these residents were collected with questionnaire and physical examinations by face-to-face interview.The prevalence rate of arthritis in the adults was analyzed through complex weighted computation and the influence factors were analyzed through unconditional logistic regression.Results The prevalence rate by survey of arthritis in the adults in Jilin province was 7.0%,the 95% CI was 6.6%-7.3%.The prevalence rate of arthritis was increased with the age increasing.It was higher in rural area than urban area (P<0.001),and the female was higher than the male (P<0.001).Logistic regression analysis indicated that the relative risks (95% confidence interval) of rural,old age,female,the low level of meat products and family history of chronic diseases for arthritis were 1.291(1.120-1.486),22.230(6.864-72.002),1.752(1.487-2.064),1.251(1.065-1.470),and 1.403(1.231-1.600),respectively.Conclusion The prevalence rate of arthritis in the adults in Jilin province is higher.It should be helpful to changing such status through enhancing health intervention among the rural residents,the female,the older and the person who has family history of chronic iseases.