天津社区居民慢性病患病现状及影响因素分析

目的了解天津市社区居民慢性病患病现状及其相关影响因素,为社区居民慢性病预防与控制提供科学依据。方法采用分层随机抽样方法对在天津市抽取的2 335名≥18岁社区居民进行问卷调查。结果天津市社区居民慢性病患病率为33.96%,其中男性和女性居民的患病率分别为33.89%和34.03%,差异无统计学意义(P>0.05);慢性病患病率随年龄的增长呈上升趋势(χ2=535.946,P=0.000);居于慢性病患病前10位的疾病依次为高血压、糖尿病、冠心病、脑梗塞、颈椎病、腰间盘突出、骨关节炎、脑血栓、脑出血和胆石症,患病率依次为21.60%、7.64%、5.76%1、.67%0、.87%0、.72%0、.64%0、.60%0、.44%和0.40%;多因素非条件Logistic回归分析结果表明,年龄≥30岁、吸烟、超重、肥胖和有慢性病家族史是天津市社区居民慢性病患病的危险因素。结论天津市社区居民慢性病患病率随年龄增长呈上升趋势;吸烟、超重、肥胖和有慢性病家族史的居民是慢性病防治的重点人群。

Prevalence and risk factors of non-communicable chronic diseases among community residents in Tianjin

Objective To investigate the prevalence of non-communicable chronic diseases and its risk factors among community residents in Tianjin.Methods By stratified cluster random sampling,2 335 residents aged over 18 years were selected.The subjects’ socio-economic factors,prevalence of chronic diseases,and related life behavior factors were investigated.The data were analyzed with logistic regression.Results The prevalence of non-communicable chronic disease was 33.96%(33.89% for male and 34.03% for female) and the prevalence increased with age.The diseases with top ten prevalences were hypertension(21.60%),diabetes(7.64%),coronary heart disease(5.76%),cerebral infarction(1.67%),cerical spondylosis(0.87%),prolapse of lumber intervertebral disc(0.72%),osteothritis(0.64%),cerebral thrombosis(0.60%),cerebral hemorrhage(0.44%),and cholelithiasis(0.40%).The results of the logistic regression showed that age,smoking,overweight,obesity,and family history of chronic disease were risk factors of non-communicable chronic diseases.Conclusion Prevalence of chronic diseases increase with the increasing of age.We should pay attention to the groups who were smoking,overweight,obesity,and those with family history of chronic disease.