社区居民生活方式疾病及其主要危险因素的调查研究

目的探讨社区居民生活方式疾病的惠病情况及其主要危险因素，为制定针对性的防治策略提供依据。方法采用多阶段分层整群随机抽样方式，通过自填卷问法对1718人进行生活方式疾病患病状况及相关影响因素调查。结果社区居民生活方式疾病总患病率为57，3％（916／I598），排在前3位的是：高血压（41．8％）、超重和（或）肥胖（16．1％）、颈腰关节痛（2．4％）；不良生活方式情况：排在前三位的是高盐饮食（60．9％）、高脂饮食（68．9％）、少锻炼运动（55．6％）；多因素logistic回归分析显示：长期坐着工作（OR=1．604）、高盐饮食（OR=1．278）、高脂饮食（OR=2．497）、吸烟（OR=1．278）、饮酒情况（OR=1．354）、经常熬夜（OR=1．213）是生活方式疾病的危险因素，而锻炼运动（OR=0．417）、常吃蔬菜水果（OR=0．700）是生活方式疾病的保护因素。结论社区居民生活方式疾病的患病率较高，是多因素综合作用的结果，对社区居民生活方式疾病进行综合干预是有效防治该类疾病的有效方法。

Analysis of major risk factors of the disease of lifestyle in community.

Objective To survey the status and the major risk factors of disease related life style. Methods There 1 718 residents in community were surveyed investigated by questionnaire survey about status of disease related life style with stratified cluster sampling. Results The total incidence of chronic diseases was 57.3%(916/1 598).The top three diseases were hypertension(41.8%),overweight(16.1%),lumbar spondylosis and neck vertebra disease(2.4%).The main incorrect life style were high salt diet(60.9%),high fat diet(68.9%) and lack of sport(55.6%).Long hour siting,high salt diet,fat diet,less sport,cigarrete smoking,drinking,working at night were primary risk factors of the disease of lifestyle in community. Conclusion The incidence of lifestyle diseases in community is high and integrated intervention measures are effective for control of lifestyle disease.