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目的了解辽宁省丹东市≥15周岁居民两周患病率及影响因素,为疾病预防和区域卫生规划提供依据。方法采取分层整群随机抽样方法,随机抽取辽宁省丹东市5 000户家庭10 930名常住人口作为调查对象,使用统一调查表进行询问调查,采用非条件逐步logistic回归分析其影响因素。结果丹东市≥15周岁居民两周患病率为14.96%,其中城市为17.88%,农村为13.34%。logistic回归分析结果显示,影响两周患病率的主要因素为地区、性别、年龄、婚姻状况、文化程度、职业以及是否患有慢性病,两周患病率排在前5位的疾病分别为上呼吸道感染、高血压、流感、冠心病、胃肠炎。结论丧偶、文化程度低、离退休及患慢性病是导致丹东市居民两周患病率升高的主要危险因素,加强对该类人群的疾病预防和卫生服务是提高居民健康水平的关键环节。
Objective To understand the two-week prevalence and influencing factors of residents aged ≥15 in Dandong, Liaoning Province, and to provide basis for disease prevention and regional health planning. Methods A stratified cluster random sampling method was used to randomly select 10 930 permanent residents of 5 000 households in Dandong City of Liaoning Province as the survey subjects. The questionnaires were investigated by using the unified questionnaire. The influencing factors were analyzed by unconditional stepwise logistic regression. Results The prevalence of two-week residents ≥15 years of age in Dandong was 14.96%, of which 17.88% in urban areas and 13.34% in rural areas. Logistic regression analysis showed that the main factors influencing the two-week prevalence were regional, gender, age, marital status, education level, occupation and whether they had chronic diseases. The top five prevalence rates for the two weeks were Respiratory tract infections, high blood pressure, flu, coronary heart disease, gastroenteritis. Conclusion Widowing, low educational level, retirement and chronic diseases are the main risk factors leading to the two-week prevalence among residents in Dandong City. Strengthening disease prevention and health services for these people is a key link in improving residents’ health.