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目的了解安徽省定远县成年人慢性病患病现状及其相关影响因素,为成年人慢性病预防与控制提供科学依据。方法采用多阶段抽样方法对安徽省定远县6 359名成年人进行问卷调查和体格测量。结果定远县成年人高血压、糖尿病、血脂异常患病例数和标化患病率分别为979例(17.11%)、158例(2.69%)、92例(1.56%);其中男性分别为522例(17.99%)、78例(2.49%)、54例(1.76%),女性分别为452例(16.24%)、80例(2.86%)、38例(1.35%);慢性病患病率随年龄的增长呈上升趋势(P<0.001);不同性别成年人各类慢性病患病率差异均无统计学意义(P>0.05);不同地区、是否肥胖及不同婚姻状况成年人各类慢性病患病率差异均有统计学意义(P<0.001);多因素分析结果表明,高体质指数(OR高血压=1.206,OR糖尿病=1.080,OR血脂异常=1.214)和年龄大(OR高血压=1.080,OR糖尿病=1.018)是安徽省定远县成年人慢性病的危险因素,而体力强度大(OR高血压=0.873,OR糖尿病=0.644,OR血脂异常=0.582)为慢性病的保护因素;3种慢性病之间存在相互影响的作用。结论高血压、糖尿病和血脂异常是安徽省定远县成年人的重要健康问题,应依据目前患病率及影响因素采取相应预防治疗措施。
Objective To understand the prevalence and related risk factors of chronic diseases among adult adults in Dingyuan County of Anhui Province and to provide a scientific basis for the prevention and control of chronic diseases in adults. Methods A multi-stage sampling method was used to survey 6,359 adults in Dingyuan County of Anhui Province. Results The prevalence of hypertension, diabetes and dyslipidemia among adults in Dingyuan County were 979 (17.11%), 158 (2.69%) and 92 (1.56%) respectively, of which the male were There were 522 cases (17.99%), 78 cases (2.49%), 54 cases (1.76%), 452 cases (16.24%), 80 cases (2.86%) and 38 cases (P <0.001). There was no significant difference in the prevalence of various types of chronic diseases between adults of different genders (P> 0.05). The prevalence of various forms of chronic diseases was obese and different marital status in different regions (OR = 1.206, OR diabetes = 1.080, OR dyslipidemia = 1.214) and older (OR hypertension = 1.080, P <0.001). The results of multivariate analysis showed that high body mass index OR diabetes = 1.018) is a risk factor for chronic diseases in adults in Dingyuan County of Anhui Province, and physical strength (OR hypertension = 0.873, OR diabetes = 0.644, OR dyslipidemia = 0.582) is a protective factor for chronic diseases; three chronic diseases Interactions exist between the role. Conclusion Hypertension, diabetes mellitus and dyslipidemia are important health problems in adults in Dingyuan County, Anhui Province. Corresponding prevention and treatment measures should be taken according to the current prevalence rate and influencing factors.