论文部分内容阅读
目的分析海沧区成年人高血压与糖尿病流行现状及其影响因素,为做好慢性病健康管理提供依据。方法采取多阶段整群随机抽样方法抽取2015年3—6月海沧区4个镇(街)13个村(居)共3 079名18岁以上居民作为调查对象,进行一般情况调查、身体测量、实验室检测及比较高血压、糖尿病患病率。结果 18岁及以上居民高血压总体患病率为18.35%,男性患病率为18.86%,女性患病率为18.10%,差异无统计学意义(χ~2=0.26,P>0.05);糖尿病总体患病率为11.01%,男性患病率为8.94%,女性患病率为12.03%,差异有统计学意义(χ~2=6.66,P<0.05)。对高血压和糖尿病的影响因素进行logistic回归分析,年龄(OR=1.58,95%CI:1.47~1.70)、吃薯类食物(OR=1.00,95%CI:1.00~1.01)为高血压的危险因素,吃牛羊肉(OR=0.99,95%CI:0.99~1.00)、水果(OR=0.99,95%CI:0.99~1.00)、奶类(OR=0.99,95%CI:0.99~1.00)、果汁(OR=0.99,95%CI:0.99~1.00)为高血压的保护因素;年龄(OR=1.76,95%CI:1.59~1.95)、性别(OR=1.50,95%CI:1.26~1.79)均为糖尿病的危险因素。结论海沧区18岁及以上成年人高血压患病率相对较低,但是海沧区18岁及以上成年人糖尿病患病率较高,防治形势则较为严峻,应加大对糖尿病防治的力度,多做有针对性的健康宣教。
Objective To analyze the prevalence of hypertension and diabetes mellitus among adults in Haicang District and its influencing factors so as to provide a basis for health management of chronic diseases. Methods A total of 3 079 residents over the age of 18 from 13 villages (houses) in 4 towns (streets) in Haicang District from March to June 2015 were selected as the survey subjects by means of multi-stage cluster random sampling method. The general survey, body measurement , Laboratory testing and comparison of hypertension, diabetes prevalence. Results The overall prevalence of hypertension was 18.35% in 18-year-olds and above residents, the prevalence was 18.86% in males and 18.10% in females, with no significant difference (χ ~ 2 = 0.26, P> 0.05) The overall prevalence rate was 11.01%. The prevalence rate was 8.94% in males and 12.03% in females. The difference was statistically significant (χ ~ 2 = 6.66, P <0.05). Logistic regression analysis was used to analyze the influencing factors of hypertension and diabetes. The age (OR = 1.58, 95% CI: 1.47-1.70) and eating potato food (OR = 1.00,95% CI: 1.00-1.01) were the risk of hypertension (OR = 0.99, 95% CI: 0.99-1.00), fruit (OR = 0.99, 95% CI: 0.99-1.00), milk (OR = 1.76, 95% CI: 1.59-1.95), sex (OR = 1.50, 95% CI: 1.26-1.79) Are risk factors for diabetes. Conclusions The prevalence of hypertension in adults 18 years and over in Haicang district is relatively low. However, the prevalence of diabetes in Haicang 18-year-old and above adults is relatively high, and the prevention and treatment situation is more serious. The intensity of prevention and treatment of diabetes mellitus should be increased , Do more targeted health education.