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中国初级卫生保健:2023,37(9):32-35
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合江县符阳街道健康体检居民慢性病患病现状 及影响因素分析*
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中文摘要: 摘 要:目的:了解四川省合江县符阳街道健康体检居民慢性病患病现状及其影响因素,为当地居民常见慢性病的综合 防控提供参考依据。方法:2021年5—7月,采用方便抽样法对领取全民免费健康体检结果的合江县符阳街道社区居民进行 问卷调查,运用χ2 检验和多因素非条件logistic回归方法分析慢性病的影响因素。结果:共调查1 094名≥18周岁的健康体检 居民,慢性病患病率为82.45%,其中高血压、血脂异常、脂肪肝的患病率分别为40.68%、37.20%、30.80%。多因素非条件 logistic 回归分析显示:冠心病 (OR=2.219)、男性 (OR=2.357)、年龄 60~69 岁 (OR=2.246) 和≥70 岁 (OR=3.338)、超重 (OR=5.157) 和肥胖 (OR=9.342)、有家族史 (OR=2.651)、偶尔自测血糖血压 (OR=1.843)、经常自测血糖血压 (OR= 2.420) 和经常饮酒 (OR=2.001) 是高血压的危险因素;女性 (OR=1.553)、患脂肪肝 (OR=2.426) 是血脂异常的危险因素; 女性 (OR=3.079)、高血压 (OR=1.369)、血脂异常 (OR=2.027)、超重 (OR=3.611)、肥胖 (OR=9.105) 和有辣口味喜好 (OR=1.699) 是脂肪肝的危险因素。结论:高血压、血脂异常和脂肪肝是合江县符阳街道健康体检居民的主要健康问题,应 加强对老年人、超重和肥胖居民的健康管理。
Abstract:Abstract: OBJECTIVE To investigate the prevalence and influencing factors of non-communicable chronic diseases(NCD) among com⁃ munity residents in Hejiang county, and to provide evidences for comprehensive prevention of common chronic diseases in community popu⁃ lations. METHODS From May to July 2021, convenience sampling method was adopted to conduct a questionnaire survey on community res⁃ idents in Fuyang Street of Hejiang County who received the results of universal free health examination, and the influencing factors of chron⁃ ic diseases were analyzed by χ2 test and multi-factor non-conditional logistic regression method. RESULTS A total of 1 094 residents of 18 years old with community health examination were investigated, and the prevalence of chronic diseases was 82.45%, among which the prev⁃ alence of hypertension, dyslipidemia and fatty liver were 40.68%, 37.20% and 30.80%, respectively. Multivariate non-conditional logistic regression analysis showed that: coronary heart disease (OR=2.219), male (OR=2.357), age 60~69 years (OR=2.246) and age ≥70 years (OR=3.338), overweight (OR=5.157), family history (OR=2.651), frequent self-measured blood glucose and blood pressure (OR=2.420) and sweet taste preference (OR=0.713) were the influencing factors of hypertension; female gender (OR=1.553), fatty liver (OR=2.426) and nor⁃ mal weight (OR=0.501) were the influencing factors of dyslipidemia; women (OR=3.079), hypertension (OR=1.36), hyperlipidemia (OR= 2.027), overweight (OR=3.611) and spicy taste preference (OR=1.699) were the factors influencing fatty liver. CONCLUSION Hypertension, dyslipidemia and fatty liver are the main health problems of the residents in the health examination in Hejiang County, so the health man⁃ agement of the elderly, overweight and obese residents should be strengthened.
文章编号:3202110010     中图分类号:R195.3    文献标志码:
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