2012年新疆喀什市流动人口慢性疾病及危险因素调查

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目的了解新疆喀什市流动人口慢性疾病主要危险因素,为制定和评价流动人口慢性病预防控制策略和措施提供科学依据。方法采取按行业分层多阶段整群抽样方法,调查300人,内容包括:询问调查、身体测量和实验室检测;使用Excel软件录入数据,用Spss 17.0进行统计分析。结果本次调查中,流动人口糖尿病占1.7%,空腹血糖在6.1~7.0 mmol/L的占4.2%,高血压患病率8.0%;肥胖占14.3%,超重占24.0%,腰围大于健康正常值的占32.0%;55.5%和84.3%的人从未自己测过血压和血糖,知晓自己身高和体重的占53.0%和77.0%,知晓自己腰围的占4.3%;不饮酒占67.7%,不吸烟占79.7%,流动人口中汉族和维吾尔族在肥胖和超重方面,差异无统计学意义(χ2=0.65,P>0.05;χ2=0.92,P>0.05),汉族腰围异常的高于维吾尔族,差异有统计学意义(χ2=5.39,P<0.05),维吾尔族流动人口知晓自己身高和体重的高于汉族,差异有统计学意义(χ2=4.10,P<0.05;χ2=5.90,P<0.05)。结论喀什市流动人口对慢性病的危险因素以及危害认识不足,在新疆流动人口中开展慢性疾病的干预,应结合实际情况,积极探索更科学、有效的综合干预措施,减少危险因素,提高健康意识和饮食控制及运动锻炼的依从性,对流动人口的干预可达到“防”与“治”相结合的目的。 Objective To understand the main risk factors of chronic diseases in floating population in Kashi, Xinjiang and to provide a scientific basis for the formulation and evaluation of prevention and control strategies and measures for chronic diseases in floating population. Methods A stratified and multistage cluster sampling method was adopted in this study. The investigation included 300 questionnaires, physical surveys and laboratory tests. Data were entered using Excel software and analyzed using Spss 17.0. Results In this survey, migrant population accounted for 1.7% of diabetic patients, fasting blood glucose was 6.1-7.0 mmol / L, accounting for 4.2%, hypertension prevalence 8.0%, obesity 14.3%, overweight 24.0%, waist circumference greater than healthy normal Accounted for 32.0%; 55.5% and 84.3% never measured blood pressure and blood sugar themselves, accounted for 53.0% and 77.0% of their height and weight, 4.3% knew their own waist circumference, 67.7% did not drink alcohol and did not smoke (79.7%). There was no significant difference between obesity and overweight in the Han and Uygur nationality in the floating population (χ2 = 0.65, P> 0.05; χ2 = 0.92, P> 0.05) (Χ2 = 4.10, P <0.05; χ2 = 5.90, P <0.05). There was statistical significance (χ2 = 5.39, P0.05) .The Uighur floating population knew their height and weight were higher than Han nationality . Conclusion The floating population in Kashi City is not aware of the risk factors and hazards of chronic diseases. To carry out the intervention of chronic diseases in the floating population of Xinjiang should actively explore more scientific and effective integrated interventions, reduce the risk factors and improve the health awareness, Diet control and exercise compliance, the intervention of floating population can achieve the purpose of combining prevention and treatment.
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