摘要
目的 剖析苏州市某社区居民慢性病患病情况及影响因素,为社区慢性病综合管理及防治提供依据.方法 采用整群随机抽样方法抽取苏州市某社区202户共788名居民,对其开展问卷调查、体格测量和实验室检测,计算慢性病患病率等指标,采用SPSS 26.0进行统计学分析.结果 苏州市某社区慢性病患病率为36.55％,前5位分别是高血压(32.49％)、糖尿病(7.87％)、血脂异常(6.47％)、冠心病(2.03％)和脑卒中(1.90％).多因素logis-tic 回归分析结果显示,60～79 岁(OR=24.409,95％CI:8.503～70.073)、≥80 岁(OR=45.889,95％CI:12.550～167.780)、慢性病家族史(OR=6.545,95％CI:4.205～10.189)、超重或肥胖(OR=1.811,95％CI:1.205～2.723)是慢性病患病的影响因素.结论 该社区居民慢性病患病率较高,应重点关注60～79岁、≥80岁、慢性病家族史、超重和肥胖等高危人群,应加强社区慢性病综合管理与防治,预防慢性病的发生和发展.
Abstract
Objective To analyze the prevalence and influencing factors of chronic diseases among residents of a community in Suzhou City,and to provide a basis for the comprehensive management and prevention of chronic diseases in the commu-nity.Methods A total of 788 residents from 202 households in a community in Suzhou City were sampled using the whole cluster random sampling method.Questionnaire surveys,physical measurements,and laboratory tests were carried out to cal-culate the prevalence of chronic diseases and other indicators.SPSS 26.0 was used for statistical analysis.Results The prevalence rate of chronic diseases in a community in Suzhou City was 36.55％,and the top five were hypertension(32.49％),diabetes(7.87％),dyslipidemia(6.47％),coronary heart disease(2.03％),and stroke(1.90％).The results of multivariate logistic regression analysis showed that 60-79 years old(OR=24.409,95％CI:8.503-70.073),≥80 years old(OR=45.889,95％CI:12.550-167.780),family history of chronic diseases(OR=6.545,95％CI:4.205-10.189),o-verweight or obesity(OR=1.811,95％CI:1.205-2.723)were influencing factors for the prevalence of chronic diseases.Conclusion The prevalence of chronic diseases among residents in this community is high,and the focus should be on high-risk groups such as those aged 60-79 or≥80,with family history of chronic diseases,overweight and obesity,etc.The comprehensive management and prevention of chronic diseases in the community should be strengthened to prevent the oc-currence and development of chronic diseases.
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