北京市东城区成年人慢性病患病现状及危险因素分析

目的了解北京市东城区成年人慢性病患病现状,分析慢性病的危险因素,为慢性病预防和控制提供依据。方法采用多阶段分层系统抽样的方法,以家庭为基本单位对东城区常住居民进行面对面询问式的问卷调查,共调查21 272人。结果调查对象高血压患病率为26.3%,糖尿病患病率为10.1%,血脂异常患病率为13.0%,慢性阻塞性肺疾病(COPD)患病率为0.7%,脑卒中患病率为2.6%,冠心病患病率为8.1%。慢性病危险因素包括年龄大(OR=8.456),有慢性病家族史(OR=2.469),腰围超过正常值(OR=1.762),离异或丧偶(OR=1.564),超重或肥胖(OR=1.548),食盐口味偏重或很重(OR=1.288),文化程度高为保护性因素(OR=0.673)。结论北京市东城区高血压、糖尿病和血脂异常等慢性病患病率较高,应尽早开展针对危险因素的综合干预措施,从而控制慢性病的发生发展。

Study on non-communicable disease prevalence and risk factor in Dongcheng District,Beijing

Objective To understand the prevalence of non-communicable disease and risk factors among residents in Dongcheng District,and provide the basis for their prevention and control.Methods 21 272 respondents were selected by using multi-stage stratified systematic sampling.A face-to-face questionnaire interview was carried out.Results The prevalence of hypertension was 26.3%,the prevalence of diabetes was 10.1%,the prevalence of dyslipidemia was 13.0%,the prevalence of chronic obstructive pulmonary disease(COPD) was 0.7%,the prevalence of stroke was 2.6%,and the prevalence of coronary heart disease was 8.1%.The risk factors included age(OR=8.456),family history of chronic disease(OR=2.469),central obesity(OR=1.762),divorce or bereft of one’s spouse(OR=1.564),overweight or obesity(OR=1.548)and high-salt diet(OR=1.288).High educational level was a protective factor(OR=0.673).Conclusion The prevalence of hypertension,diabetes and dyslipidemia is high of Dongcheng District of Beijing City,comprehensive intervention to reduce the risk factor must be implemented as soon as possible to reduce the prevalence of non-communicable diseases.