Analysis on effectiveness of the demonstration areas for comprehensive prevention and control of non-communicable diseases in Xiamen city from 2012 to 2022
Objective To evaluate the effectiveness of the demonstration areas for comprehensive prevention and control of non-communicable diseases(NCDs)in Xiamen city,so as to provide a basis for chronic disease prevention and control.Methods The period of creation of the demonstration areas for comprehensive prevention and control of NCDs in Xia-men city from 2012-2016 was defined as T1 period,and the period of improvement from 2017-2022 was defined as T2 period.Proportionate stratified random sampling was used to collect data on chronic diseases and risk factors of Xiamen residents from the database of the Survey of Chronic Diseases and the Status of Social Influencing Factors in 6 districts of Xiamen city,with 20 535 respondents sampled in T,period and 22 289 respondents sampled in T2 period.Trends in the prevalence of major chronic diseases and risk factors among Xiamen residents were analysed in the T1 and T2 periods.Results The prevalence rates of hypertension in Xiamen residents in T1 and T2 periods were 16.51％(3 391/20 535)and 15.35％(3 422/22 289)respectively,the prevalence rates of diabetes were 6.24％(1 281/20 535)and 4.30％(959/22 289)respectively,the prevalence rates of hypercholesterolemia were 5.54％(1 138/20 535)and 10.45％(2 329/22 289)respectively,and the prevalence rates of obesity were 9.09％(1 867/20 535)and 10.04％(2 239/22 289)re-spectively.Compared with T1,the prevalence of hypertension and diabetes in T2 residents decreased(x2=10.758,80.776,P＜0.001),the prevalence of hypercholesterolemia and obesity increased(x2=345.93,11.21,P＜0.001),the proportion of lack of physical exercise decreased(x2=68.21,P＜0.001),the daily intake of salt and oil decreased(x2=81.17,P＜0.001),and the awareness rate of the standard of high-risk groups of chronic diseases increased(x2=32.11,P＜0.001).Conclusion Since the implementation of the comprehensive prevention and control demonstration zone for NCDs,the prevalence of major chronic diseases among resi-dents in Xiamen city has decreased,however,there was still a need for better chronic disease management for hypercholes-terolaemia,obesity and the male population.
Non-communicable diseasesComprehensive prevention and controlThe demonstration areasHealth manage-ment
NETL
NSTL
万方数据
