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章文强, 曾德勇, 孙晓蒙, 宋辉, 马新雅, 周宗磊, 李斯怡, 栾荣生. 成都市锦江区成年人慢性病危险因素流行现状及其影响因素分析[J]. 中国公共卫生, 2019, 35(8): 1064-1067. DOI: 10.11847/zgggws1119898
引用本文: 章文强, 曾德勇, 孙晓蒙, 宋辉, 马新雅, 周宗磊, 李斯怡, 栾荣生. 成都市锦江区成年人慢性病危险因素流行现状及其影响因素分析[J]. 中国公共卫生, 2019, 35(8): 1064-1067. DOI: 10.11847/zgggws1119898
Wen-qiang ZHANG, De-yong ZENG, Xiao-meng SUN, . Prevalence of risk factors for chronic diseases and its determinants among adult residents in Jinjiang district of Chengdu city[J]. Chinese Journal of Public Health, 2019, 35(8): 1064-1067. DOI: 10.11847/zgggws1119898
Citation: Wen-qiang ZHANG, De-yong ZENG, Xiao-meng SUN, . Prevalence of risk factors for chronic diseases and its determinants among adult residents in Jinjiang district of Chengdu city[J]. Chinese Journal of Public Health, 2019, 35(8): 1064-1067. DOI: 10.11847/zgggws1119898

成都市锦江区成年人慢性病危险因素流行现状及其影响因素分析

Prevalence of risk factors for chronic diseases and its determinants among adult residents in Jinjiang district of Chengdu city

  • 摘要:
    目的 了解四川省成都市锦江区居民4类慢性病危险因素的流行现状及其影响因素。
    方法 采用多阶段分层整群随机抽样法,对锦江区16个街道常住居民进行调查,包括问卷调查和体格检查。共计13 678名18岁以上成年人纳入样本,计算4类慢性病危险因素流行率:现在吸烟率、经常饮酒率、超重肥胖率和中心型肥胖率;采用非条件logistic回归分析4类危险因素流行率的影响因素。
    结果 锦江区居民现在吸烟率、经常饮酒率、超重肥胖率、中心型肥胖率分别为14.8 %、4.3 %、38.6 %、27.2 %,经性别、年龄标化后分别为19.5 %、4.3 %、33.4 %、22.4 %。多因素分析显示,45~59岁、初中文化是现在吸烟的危险因素;45~59岁、≥ 60岁、已婚、离婚是经常饮酒的危险因素;45~59岁、≥ 60岁、已婚、离婚、丧偶、非本市户籍是超重肥胖的危险因素;45~59岁、≥ 60岁、已婚、丧偶是中心型肥胖的危险因素。
    结论 锦江区成年人4类慢性病危险因素流行广泛,45~59岁人群是危险因素干预的重点人群,应采取针对性措施进行综合干预。

     

    Abstract:
    Objective To examine the prevalence of risk factors of four major non-commnicable chronic diseases (cardiovascular and cerebrovascular disease, cancer, and chronic obstructive pulmonary disease) and its determinants among adult residents in Jinjiang district of Chengdu city, Sichuan province.
    Methods We recruited 13 678 residents aged ≥ 18 years using stratified multistage cluster random sampling in 16 communities of Jinjiang district for a questionnaire survey and physical examination in 2017. The prevalence of risk factors for the 4 major chronic diseases as current smoking, frequent alcohol drinking, overweight/obesity, and abdominal obesity among the participants were calculated and their determinants were analyzed with non-conditional logistic regression model.
    Results Among the participants, the prevalence rate was 14.8% (gender- and age-adjusted rate: 19.5%) for current smoking, 4.3% (4.3%) for frequent alcohol drinking, 38.6% (33.4%) for overweight/obesity, and 27.2% (22.4%) for abdominal obesity. The results of logistic regression analysis revealed that aged 45 – 59 years and with junior high school education were risk factors for current smoking; aged 45 – 59 years or aged more than 60 years and being married were risk factors for frequent alcohol drinking, overweight/obesity, and abdominal obesity; being divorced was a risk factor for frequent alcohol drinking and overweight/obesity; and being widowed was a risk factor for overweight/obesity and abdominal obesity, respectively.
    Conclusion Risk factors for major chronic diseases are prevalent among adult residents in Jinjiang district of Chengdu city and comprehensive interventions on the risk factors should be promoted among the residents, especially among those aged 45 – 59 years.

     

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