广西城乡居民慢性病相关危险因素调查研究

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[目的]了解广西城乡居民主要慢性病及其危险因素的流行水平。[方法]采用多阶段分层随机整群抽样的方法,通过问卷调查、体格检查,对3362名15~69岁居民主要慢性病及其危险因素的流行水平进行调查分析。[结果]人群超重率、肥胖率、向心性肥胖率以及高血压患病率分别为30.63%、1.38%、22.43%和18.16%,标化率分别为27.44%、1.13%、18.73%和13.54%;人群吸烟率、饮酒率分别为25.57%、37.75%。居民能经常步行或骑车比例占49.36%,能经常锻炼占29.12%,久坐少动活动平均时间为3.9h/d。饮食方面,每天吃早餐占77.46%,膳食结构中每天摄入蛋类、鱼虾类、畜肉类、禽肉类食物、奶及其制品、豆及其制品以及蔬菜水果均明显不足。通过多因素分析显示,城市、性别、年龄、低教育程度、职业、休闲活动、静坐时间、食用早餐是超重、向心性肥胖和高血压的主要影响因素。[结论]广西城乡居民高血压患病率、超重率均处于全国较高水平,人群总吸烟率高、膳食结构不合理以及身体活动明显不足,应作为城乡居民预防与控制慢性病危险因素干预的重点环节。 [Objective] To understand the prevalence of major chronic diseases and their risk factors in Guangxi urban and rural residents. [Methods] The multistage stratified stratified random cluster sampling method was used to investigate the prevalence of major chronic diseases and their risk factors in 3362 residents aged from 15 to 69 through questionnaire and physical examination. [Results] The rates of overweight, obesity, concentric obesity and hypertension were 30.63%, 1.38%, 22.43% and 18.16%, respectively. The standardization rates were 27.44%, 1.13%, 18.73% and 13.54% ; Smoking rate, drinking rate were 25.57%, 37.75% respectively. Residents can often walk or ride accounted for 49.36%, regular exercise accounted for 29.12%, sedentary and sedentary activity average time of 3.9h / d. Diet, eating breakfast accounted for 77.46% daily dietary intake of daily intake of eggs, fish and shrimp, livestock meat, poultry meat, milk and products, beans and their products and fruits and vegetables are obviously inadequate. By multivariate analysis, city, sex, age, low education level, occupation, leisure activities, sit-in time and eating breakfast are the main influencing factors of overweight, concentric obesity and hypertension. [Conclusion] The prevalence rates of hypertension and overweight in both urban and rural areas in Guangxi are higher than those in other areas of the country. The high prevalence of smoking in the population, the irrational dietary structure and the obvious lack of physical activity should be the key points in the intervention of urban and rural residents in preventing and controlling the risk of chronic diseases Links.
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