CAJ | 학술논문

目的：了解株洲市芦淞区城区居民慢性病及相关危险因素的流行状况，为制定和评价慢性病防制措施提供参考。方法采取多阶段分层整群抽样的方法，在12个监测村（社区）随机抽取600户，用户用 KISH表法随机抽取1名18岁及以上居民进行调查，调查采取问卷调查，身体测量与实验室检测的方法。结果调查居民600人，男性242人，女性358人，监测人群中高血压、血脂异常、糖尿病、COPD、心肌梗死、脑卒中、哮喘、恶性肿瘤、超重、肥胖的患病率分别为34.7％、34.3％、22.3％、6.3％、3.5％、2.7％、2.2％、2.0％、28.1％和14.1％。多因素非条件 Logistic 回归分析提示：高血压的危险因素有职业（OR ＝1.122）、活动（OR ＝1.778）、水果摄入（OR ＝2.295）、腹型肥胖（OR ＝1.987）、体质指数（OR ＝1.633），95％ CI 分别为1.066～1.180、1.120～2.822、1.082～4.866、1.145～3.449、1.166～2.287；血脂异常的危险因素有吸烟（OR ＝2.168）、水果摄入（OR ＝2.637）、体质指数（OR ＝1.628），95％ CI 分别为1.449～3.246、1.236～5.626、1.179～2.247；糖尿病的危险因素有体质指数（OR ＝1.749）、职业（OR ＝1.119）、婚姻状况（OR ＝1.339）、文化程度（OR ＝0.818），95％ CI 分别为1.198～2.554、1.055～1.188、1.060～1.693、0.696～0.960。结论高血压、血脂异常、糖尿病和肥胖等慢性病及其危险行为因素严重影响着该城区居民的健康，应积极开展健康行为教育，预防慢性病的发生。
목적：료해주주시호송구성구거민만성병급상관위험인소적류행상황，위제정화평개만성병방제조시제공삼고。방법채취다계단분층정군추양적방법，재12개감측촌（사구）수궤추취600호，용호용 KISH표법수궤추취1명18세급이상거민진행조사，조사채취문권조사，신체측량여실험실검측적방법。결과조사거민600인，남성242인，녀성358인，감측인군중고혈압、혈지이상、당뇨병、COPD、심기경사、뇌졸중、효천、악성종류、초중、비반적환병솔분별위34.7％、34.3％、22.3％、6.3％、3.5％、2.7％、2.2％、2.0％、28.1％화14.1％。다인소비조건 Logistic 회귀분석제시：고혈압적위험인소유직업（OR ＝1.122）、활동（OR ＝1.778）、수과섭입（OR ＝2.295）、복형비반（OR ＝1.987）、체질지수（OR ＝1.633），95％ CI 분별위1.066～1.180、1.120～2.822、1.082～4.866、1.145～3.449、1.166～2.287；혈지이상적위험인소유흡연（OR ＝2.168）、수과섭입（OR ＝2.637）、체질지수（OR ＝1.628），95％ CI 분별위1.449～3.246、1.236～5.626、1.179～2.247；당뇨병적위험인소유체질지수（OR ＝1.749）、직업（OR ＝1.119）、혼인상황（OR ＝1.339）、문화정도（OR ＝0.818），95％ CI 분별위1.198～2.554、1.055～1.188、1.060～1.693、0.696～0.960。결론고혈압、혈지이상、당뇨병화비반등만성병급기위험행위인소엄중영향착해성구거민적건강，응적겁개전건강행위교육，예방만성병적발생。
Objective To understand the epidemic situation of chronic disease among adult residents and the relat-ed risk factors in urban areas of Lusong District of Zhuzhou,and provide the references for the development and evaluation of chronic diseases prevention strategies.Methods By multistage stratified cluster sampling method,600 households were se-lected from 12 towns in Lusong by random method.Then,according to KISH table method,1 family member aged 18 and o-ver in the household was investigated.The questionnaire,physical examination and laboratory detection were carried out.Results The number of surveyed residents were 600,including male 242 and female 358.The prevalence rate of hyper-tension,dyslipidemia,diabetes,chronic obstructive pulmonary disease,myocardial infarction,stroke,asthma,malig-nant tumors,overweight and obesity were 34.7%,34.3%,22.3%,6.3%,3.5%,2.7%,2.2%,2.0%,28.1%and 14.1%,respectively.Non-conditional logistic regression analysis showed that:risk factors of hypertension were occupa-tion (OR =1.122,95% CI:1.066 -1.180),activity (OR =1.778,95% CI:1.120 -2.822),fruit intake (OR =2.295,95% CI:1.082 -4.866),abdominal obesity (OR =1.987,95% CI:1.145 -3.449) and body mass index (OR =1.633,95% CI:1.166 -2.287),respectively.The risk factors of dyslipidemia were smoking (OR =2.168, 95% CI:1.449 -3.246),fruit intake (OR =2.637,95% CI:1.236 -5.626)and body mass index (OR =1.628, 95% CI:1.179 -2.247 ),respectively.The risk factors of diabetes were body mass index (OR =1.749,95% CI:1.198 -2.554),occupation (OR =1.119,95% CI:1.055 -1.188),marital status (OR =1.339,95% CI:1.060 -1.693),educational level (OR =0.818,95% CI:0.696 -0.960),respectively.Conclusion With the hypertension, dyslipidemia,diabetes and obesity and other chronic diseases and their risk factors seriously affect the health of urban resi-dents,health behavior education should be carried out to prevent the chronic disease actively.