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江西中医药大学
纸质出版日期:2019,
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[1]张雪艳,严军,王萍,王素珍.江西省居民慢性病患病情况及影响因素分析[J].保健医学研究与实践,2019,16(06):16-20+25.
Zhang Xueyan, Yan Jun, Wang Ping, et al. Prevalence of chronic diseases and its influencing factors among residents in Jiangxi province[J]. Health Medicine Research and Practice, 2019,16(6):16-20.
目的了解江西省18周岁及以上居民慢性病患病情况及影响因素
为慢性病防控工作提供理论依据。方法抽取2013-2016年江西省居民健康档案中的个人基本信息表
筛选18周岁及以上成人作为研究对象
最终纳入研究对象82 437例。描述研究对象慢性病患病现状并分析其影响因素。结果研究对象慢性病患病率为18.11%。慢性病种类中
患病率从高到低依次为高血压(16.22%)、糖尿病(3.51%)、冠心病(0.32%)、重性精神病(0.29%)。单因素分析结果显示
不同性别、年龄段、文化程度、婚姻状况、药物过敏史、既往手术史、慢性病家族史研究对象的慢性病患病情况差异均有统计学意义(P<0.05)
其中女性慢性病患病率高于男性
年龄越大患病率越高
文化程度越低患病率越高
有药物过敏史者、有既往手术史者及有慢性病家族史者患病率分别高于无药物过敏史者、无既往手术史者及无慢性病家族史者。二元Logistic回归分析结果显示
性别、年龄、文化程度、婚姻状况、既往手术史、慢性病家族史为研究对象慢性病患病的影响因素
其中女性(OR=1.276)、年龄41~64岁(OR=13.793)、年龄≥65岁(OR=38.626)、婚姻状况为已婚(OR=7.662)、婚姻状况为离异或丧偶(OR=8.610)、有既往手术史(OR=1.549)、有慢性病家族史(OR=2.962)是研究对象慢性病患病的危险因素(P<0.05)
文化程度为初中(OR=0.939)、高中/技校/中专(OR=0.941)、大专及以上(OR=0.850)是慢性病患病的保护因素(P<0.05)。结论女性、高龄、已婚、离异或丧偶、文化程度低、有既往手术史和慢性病家族史的个体更易罹患慢性病
江西省需要加大慢性病筛查、科普宣传及防控力度
对重点人群进行健康教育
提高居民健康知识
增强居民的健康信念从而使居民拥有健康的行为和生活方式
降低慢性病的发病率。
Objective To investigate the prevalence of chronic diseases among residents aged 18 years and over in Jiangxi province and its influencing factors
so as to provide a theoretical basis for the prevention and control of chronic diseases.Methods The basic personal information documents in the health records of residents in Jiangxi province from 2013 to 2016 were collected randomly
and adults aged 18 years and over were selected as the research subjects.A total of 82 437 subjects were included in the study.The prevalence of chronic diseases among the subjects was described
and the influencing factors were analyzed.Results The prevalence of chronic diseases in the subjects was 18.11%.Among the types of chronic diseases
the prevalence of hypertension
diabetes
coronary heart disease
and severe mental illness was 16.22%
3.51%
0.32%
and 0.29%
respectively.The univariate analysis results showed that there were statistically significant differences in the prevalence of chronic diseases in subjects of different genders
age groups
education levels
marital status
history of drug allergies or surgery
and family history of chronic diseases(P<0.05).The prevalence of chronic diseases in female subjects was higher than that in male subjects.The older and less educated a subject
the higher the prevalence of chronic diseases.The prevalence of chronic diseases in patients with a history of drug allergies or surgery and those with a family history of chronic diseases was higher than those without one.The results of binary logistic regression analysis showed that gender
age
education
marital status
history of surgery
and family history of chronic diseases were factors influencing the prevalence of chronic diseases in the subjects.Among them
female(OR=1.276)
aged 41~64 years(OR=13.793)
aged≥65 years(OR=38.626)
married(OR=7.662)
divorced or widowed(OR=8.610)
having a history of surgery(OR=1.549)
and having a family history of chronic diseases(OR=2.962)are risk factors for chronic disease(P<0.05)
while the education level of junior high school(OR=0.939)
high school/vocational school/specialized secondary school(OR=0.941)
and specialized college and above(OR=0.850)are protective factors for chronic diseases(P<0.05).Conclusion Females
the elderly
the married
divorced or widowed
individuals with low educational level
and those with a history of surgery or a family history of chronic diseases are more susceptible to chronic diseases.Jiangxi province needs to strengthen the screening and prevention of chronic diseases
popularize relevant knowledge
provide health education to key populations
improve residents′health knowledge and strengthen their health beliefs
so that residents may have healthy behaviors and lifestyles
and the incidence of chronic diseases be reduced.
慢性病患病率影响因素高血压糖尿病江西省知信行
Chronic diseasePrevalenceinfluencing factorshypertensiondiabetesJiangxi provinceKnowledgettitudeand practice
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