三门峡市企业退休职工主要慢性病患病现状调查

目的了解河南省三门峡市企业退休职工高血压、糖尿病、血脂异常以及超重、肥胖等主要慢性病的流行状况,为制定相应防控策略提供科学依据。方法采用普查的方法对三门峡市30余家企业退休职工进行针对主要慢性病的体格测量和实验室检查。结果调查对象共7 475名,高血压、糖尿病、血脂异常以及超重和肥胖的患病率分别为44.29%、10.03%、33.19%、41.03%和16.48%;经Cochran-Armitage趋势检验,几种主要慢性病的患病率均有随着年龄增长而升高的趋势(P<0.05);女性的血脂异常、肥胖患病率高于男性(P<0.05);建立logistic回归模型,年龄不同,高血压的发生概率不同,肥胖、血脂异常以及糖尿病是影响这一目标人群高血压患病的主要危险因素。结论三门峡市企业退休职工的高血压、糖尿病、血脂异常以及超重、肥胖的患病率水平高。当前应加强慢性病的三级预防,加强社区慢性病综合防治工作。

Prevalence of main non-communicable chronic diseases among retired occupational population in Sanmenxia city

Objective To investigate the prevalence rate and the characteristic of main non-communicable chronic diseases（NCDs） among retired population from enterprise in Sanmenxia City of Henan Province and provide scientific evidences for formulating the strategies of NCDs control and prevention applied to the target population.Methods The overall survey method was adopted for physical examination and experimental detection for the enterprise retired workers from more than 30 enterprises in Sanmenxia city.Results Totally,7475 people participated in the study and the prevalence rates of hypertension,diabetes,hyperlipaemia,overweight and obesity were 44.29%,10.03%,33.19%,41.03% and 16.48% respectively.There was an ascending tendency of the main diseases with age among the population by Cochran-Armitage tendency method（P0.05）.The prevalence rate of hyperlipaemia and obesity of the female was higher than that of the male（P0.05）.The incidence probability of hypertension was significantly different with age by logistic regression analysis.Obesity,diabetes and abnormal levels of blood fat were also primary risk factors related to hypertension prevalence among the target population.Conclusion These findings reveal that the prevalence rates of hypertension,diabetes,hyperlipaemia,overweight and obesity are obviously high among the objective population.It is necessary to strengthen the community-based comprehensive prevention and control of NCDs by health education and health promotion intervention.