Prevalence and risk factors of main chronic diseases in rural residents of Yiling district,Yichang city

Objective To examine the prevalence of main chronic diseases and its risk factors among rural population in Yiling district,Yichang city. Methods Using stratified cluster sampling,9 781 migrants and non-migrants aged from 35 to 75 years in Yiling district,Yichang city were investigated with a questionnaire survey,physical examination, and laboratory test. Results The number and prevalence of hypertension,diabetes mellitus,dyslipidemia,and obesity were 3 677(37.6%),340(3.4%),2 801(28.3%),and 629(6.3%),respectively.The number and the age-adjusted prevalences of the diseases were 1 617(39.3%),139(3.3%),1 127(27.9%),and 224(5.7%)in men and 2 060 (36.6%),201(3.5%),1 674(29.0%),and 405(7.0%)in women,respectively.The rate of hypertension in men was higher than that in women(P<0.05),but the prevalence of obesity among women was higher than among men (P<0.05).Compared to non-migrants,the rate of dyslipidemia among migrants was lower,but the rate of obesity was higher(P<0.05).Multivariate logistic regression analyses showed that the related risk factors of hypertension and diabetes mellitus included family history,with the odds ratio(OR)and 95% confidence interval(CI)of 2.114(1.8932.360)for hypertension and 4.229(2.705-6.611)for diabetes mellitus. Conclusion Hypertension and diabetes are main chronic diseases and intervention strategies should be taken among the residents of Yiling district of Yichang city.