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目的了解宁夏回族自治区农村居民慢性病的患病现状及其影响因素,为采取相应的干预措施提供参考依据。方法收集宁夏卫生厅与哈佛/牛津大学研究团队合作开展的“创新支付制度,提高卫生效益”试点项目中海原、盐池、同心、彭阳、西吉5个样本县“农村居民家庭卫生健康询问调查”2012年30 583名农村居民的追踪随访资料,采用SPSS 11.5软件分析五县农村居民慢性病的患病现状及其相关影响因素。结果宁夏回族自治区五县30 583名农村居民自报患≥1种慢性病者4 182例,慢性病患病率为13.7%,年龄标化慢性病患病率为13.49%,高于2008年全国第四次卫生服务调查农村地区年龄标化慢性病患病率的10.98%(u=12.85,P<0.05);4 182例慢性病患者中,患1、2和≥3种慢性病者分别占84.0%、12.9%和3.1%;多因素非条件logistic回归分析结果显示,女性和年龄≥5岁是宁夏回族自治区五县农村居民慢性病患病的危险因素,文化程度初中及以上、家庭年均经济收入中低收入及以上是宁夏回族自治区五县农村居民慢性病患病的保护因素。结论宁夏回族自治区农村居民慢性病患病率较高,性别、年龄、文化程度和家庭年均经济收入状况是宁夏回族自治区农村居民慢性病患病的主要影响因素。
Objective To understand the prevalence and influencing factors of chronic diseases among rural residents in Ningxia Hui Autonomous Region and provide reference for taking corresponding intervention measures. Methods We collected 5 sample counties of “Haiyuan, Yanchi, Tongxin, Pengyang and Xiji” from “Ningxia Health Department and Harvard / Oxford University research team to carry out the” Innovative Payment System and Improve Sanitation Benefit “ Health Questionnaire Survey ”The follow-up data of 30 583 rural residents in 2012 were analyzed using SPSS 11.5 software to analyze the prevalence of chronic diseases in the five counties and their related factors. Results A total of 4 582 rural residents from 5 counties of Ningxia Hui Autonomous Region reported 4 182 chronic diseases with chronic diseases, the prevalence of chronic diseases was 13.7% and the prevalence of age-standardized chronic diseases was 13.49%, higher than the fourth in 2008 in China Health services surveyed 10.98% (u = 12.85, P <0.05) of age-standardized prevalence of chronic diseases in rural areas; 84.1%, 12.9%, and 12.9% of 4 182 chronic ill patients, 3.1%. Multivariate non-conditional logistic regression analysis showed that female and age≥5 years old were risk factors for chronic diseases in five rural counties in Ningxia Hui Autonomous Region. Middle school students with junior high school education and above, low and middle income families and above average income Ningxia Hui Autonomous Region is the five rural residents of chronic disease protection factor. Conclusion The prevalence rate of chronic diseases among rural residents in Ningxia Hui Autonomous Region is relatively high. Sex, age, education level and average annual household income are the main influencing factors of chronic diseases among rural residents in Ningxia Hui Autonomous Region.