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中国初级卫生保健:2024,38(5):28-32
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武威市凉州区成年居民慢性病流行现状 及相关因素分析*
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中文摘要: 摘 要:目的:了解甘肃省武威市凉州区成年居民慢性病流行现状及相关因素。方法:2023年4月,采用多阶段分层整 群抽样方法,通过问卷调查、体格测量及血样检测,调查分析凉州区4个社区、8个乡镇9 004名成年居民慢性病相关危险因 素与流行水平。结果:凉州区居民当前患有的前 3 位慢性病分别为高血压、糖尿病、高脂血症,患病率分别为 25.10%、 7.94%、3.47%。农村居民高血压患病率高于城市居民,差异有统计学意义(P<0.05);城市男性居民高血压、糖尿病患病率 高于城市女性,差异有统计学意义 (P<0.05);60岁及以上人群中男性和女性高血压、糖尿病患病率远高于18~34岁、35~ 59岁人群。城市居民高血脂症患病率高于农村居民,差异有统计学意义 (P<0.05)。除60岁以上人群女性高脂血症患病率 略高于男性,其他年龄段男性高脂血症患病率均高于女性。凉州区成年居民中约有47.87%体重超过正常值 (超重和肥胖), 其中超重和肥胖者分别占37.14%、10.73%。农村居民超重、肥胖率高于城市居民;各年龄段男性超重、肥胖率均高于女 性。结论:凉州区居民中心性肥胖问题突出,尤其是农村中青年男性居民的中心性肥胖问题值得关注。
Abstract:Abstract: OBJECTIVE To understand the prevalence of chronic diseases and related factors among adult residents in Liang⁃ zhou district. METHODS A multi-stage stratified cluster sampling survey was conducted in 4 communities in Liangzhou district, a to⁃ tal of 9 004 adults in 8 townships were investigated for chronic diseases and their risk factors. RESULTS The prevalence rates of hy⁃ pertension, diabetes and hyperlipidemia were 25.10%, 7.94% and 3.47% respectively in Liangzhou District. The prevalence rate of hypertension in rural residents was higher than that in urban residents (P<0.05), and the prevalence rate of hypertension and diabe⁃ tes mellitus in urban male residents was higher than that in urban female residents (P<0.05). The prevalence rates of hypertension and diabetes mellitus in men and women aged 60 years and over were much higher than those aged 18~34 years and 35~59 years. The prevalence rate of hyperlipemia in urban residents was higher than that in rural residents (P<0.05) . The prevalence rate of hy⁃ perlipemia in females was slightly higher than that in males, except for those over 60 years old. In terms of BMI distribution, about 47.87% of Liangzhou District adults were overweight or obese, with overweight and obesity accounting for 37.14% and 10.73% re⁃ spectively. The overweight and obesity rates of rural residents were higher than those of urban residents, and the overweight and obe⁃ sity rates of male were higher than those of female in all age groups. CONCLUSION It suggested that the problem of abdominal obesi⁃ ty in Liangzhou District is worthy of attention, especially in rural, young and middle-aged men.
文章编号:3202410007     中图分类号:R195    文献标志码:
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