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目的了解云南省玉龙县纳西族居民肥胖及中心性肥胖患病情况及与社会经济状况之间的关系,为制定纳西族居民肥胖的预防干预措施提供科学依据。方法采用分层随机抽样的方法,抽取玉龙县1 402名≥35岁的纳西族居民进行现场体检和问卷调查。采用主成分分析法构建社会经济地位综合得分。结果纳西族居民的肥胖率和中心性肥胖率分别为8.9%和39.5%,其中男性分别为6.7%和19.9%,女性分别为10.8%和56.2%;女性肥胖率和中心性肥胖率明显高于男性,差异均有统计学意义(P<0.01);中心性肥胖率随年龄的增加呈上升趋势(P<0.01)。文化程度越低、中等住房情况、医疗机构可及性好和社会经济地位越高的纳西族居民的中心性肥胖率越高(P<0.05),而社会经济状况与纳西族居民肥胖无显著联系。结论综合社会经济地位越高的纳西族居民中心性肥胖率越高,应重点加强社会经济地位较高纳西族居民中心性肥胖的预防和干预工作。
Objective To understand the prevalence of obesity and central obesity among residents of Naxi ethnic group in Yulong County, Yunnan Province and its relationship with socioeconomic status, and to provide a scientific basis for the prevention and treatment of obesity among residents in Naxi ethnic minority. Methods By stratified random sampling method, 1,402 Naxi residents aged 35 years or older in Yulong County were sampled for physical examination and questionnaire survey. Using Principal Component Analysis to Construct Comprehensive Social and Economic Status Score. Results The obesity rate and central obesity rate of residents in Naxi ethnicity were 8.9% and 39.5%, respectively, with 6.7% and 19.9% in males and 10.8% and 56.2% in females respectively. The rates of obesity and central obesity in females were significantly higher than those in females Male, the differences were statistically significant (P <0.01); central obesity rate increased with age (P <0.01). The lower the level of education, the higher the central obesity rate was (P <0.05), and the socio-economic status was not significantly associated with obesity in Naxi people . Conclusions The higher the central obesity rate of Naxi people with integrated socio-economic status, the more emphasis should be placed on strengthening the prevention and intervention of central obesity among residents of Naxi ethnic group with higher socio-economic status.