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目的了解昌平区老年人慢性病患病及其存在危险因素。方法选取南口地区28个自然村60周岁以上的常驻居民作为调查对象,调查内容包括体格检查和问卷调查。统计分析采用多因素Logistic回归分析和卡方检验。结果社区60岁以上老年人糖尿病、高血压、血脂异常、超重和肥胖的患病率无年龄增长趋势;老年人糖尿病、高血压、血脂异常患病率与BMI无关;具有糖尿病、高血压和血脂异常危险因素项次年龄组和性别差异不大;老年人血脂异常可增加糖尿病患病风险;老年人的年龄、BMI、总胆固醇、吸烟、饮酒、肥胖、糖尿病、高血压和血脂异常9项特征中除BMI和肥胖率外男性均高于女性。结论老年人慢性病管理重点为男性,充分发挥基层社区卫生服务中心作用,加强以社区服务站和社区医生为主的慢性病防治工作模式,做好慢病的预防工作。
Objective To understand the prevalence and risk factors of chronic diseases in the elderly in Changping District. Methods Resident residents above 60 years of age in 28 villages in the south of China were selected as the survey subjects. The investigation included physical examination and questionnaire. Statistical analysis using multivariate logistic regression analysis and chi-square test. Results The prevalence of diabetes, hypertension, dyslipidemia, overweight and obesity in the community over the age of 60 had no trend of increasing age. The prevalence of diabetes, hypertension and dyslipidemia in the elderly was not related to BMI. The prevalence of diabetes, hypertension, and lipids There were no significant differences in age, sex and gender among the items of abnormal risk; the dyslipidemia of the elderly increased the risk of diabetes; the age, BMI, total cholesterol, smoking, drinking, obesity, diabetes, hypertension and dyslipidemia In addition to BMI and obesity rates were higher in men than in women. Conclusion The focus of chronic disease management in the elderly is male, give full play to the role of grassroots community health service center, strengthen the work mode of prevention and treatment of chronic diseases with community service stations and community doctors as the mainstay, and do a good job in the prevention of chronic diseases.