新泰市居民慢性非传染性疾病及危险因素分析

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目的了解新泰市成人慢性非传染性疾病(以下简称慢性病)情况及其相关危险因素,为慢性病综合防治提供依据。方法 2013年5月,按照多阶段分层随机整群抽样原则,抽取山东省新泰市18~69周岁常住居民2 400人进行问卷调查、体格测量和生化指标检测,应用SPSS 16.0软件包进行统计学分析。结果共调查2 400人,回收有效问卷2 227份,其中农村居民1 486人,城区居民741人;男性1 093人,女性1 134人。新泰市18~69周岁成人高血压、糖尿病、血脂异常患病率分别为22.45%、5.61%、40.01%,均随年龄增长呈上升趋势,但男女性差异无统计学意义(P>0.05),高血压、糖尿病患病率城乡差异无统计学意义(P>0.05),血脂异常患病率城区高于农村(P<0.05);临界高血压、糖耐量低减、空腹血糖受损、超重、肥胖及中心性肥胖率分别为17.47%、9.03%、3.64%、48.14%、13.11%、63.22%;吸烟率、饮酒率、嗜盐率、体育锻炼率分别为34.13%、25.55%、87.56%、56.76%,男性吸烟率、饮酒率、嗜盐率均高于女性(P<0.05)。结论新泰市成人高血压、糖尿病、血脂异常患病形势不容乐观,慢性病高危人群数量及高风险因素比例较大,应从控制体重、戒烟限酒、减盐等方面做起,开展社区慢性病综合防控。 Objective To understand the situation of adult chronic non-communicable diseases (hereinafter referred to as chronic diseases) and its related risk factors in Xintai City, and provide the basis for the comprehensive prevention and control of chronic diseases. Methods In May 2013, according to the multi-stage stratified random cluster sampling principle, 2 400 permanent residents aged 18-69 years old in Xintai City of Shandong Province were sampled for questionnaire survey, physical measurement and biochemical detection, and SPSS 16.0 software package was used for statistics Analysis. Results A total of 2 400 people were surveyed. There were 2 227 valid questionnaires, of which 1 486 were rural residents and 741 were urban residents. There were 1 093 males and 1 134 females. The prevalence rates of hypertension, diabetes and dyslipidemia among adults aged 18-69 years old in Xintai City were 22.45%, 5.61% and 40.01%, respectively, all increasing with age, but there was no significant difference between men and women (P> 0.05) (P <0.05). The prevalence of dyslipidemia in urban areas was higher than that in rural areas (P <0.05). The critical hypertension, impaired glucose tolerance, impaired fasting glucose, overweight , Obesity and central obesity rates were respectively 17.47%, 9.03%, 3.64%, 48.14%, 13.11% and 63.22%. The rates of smoking, drinking, halophilic and physical exercise were 34.13%, 25.55% and 87.56% , 56.76% respectively. The male smoking rate, alcohol drinking rate and salt-adding rate were all higher than those in female (P <0.05). Conclusion The prevalence of hypertension, diabetes mellitus and dyslipidemia in adults in Xintai City is not optimistic. The number of high-risk population and the risk factors of chronic diseases are relatively large. We should start from the aspects of weight control, smoking cessation and alcohol restriction, salt reduction and so on. control.
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