2012-2022年福建省厦门市慢性病综合防控示范区建设效果分析
Analysis on effectiveness of the demonstration areas for comprehensive prevention and control of non-communicable diseases in Xiamen city from 2012 to 2022
申锦玉 1陈德彬1
作者信息
- 1. 厦门市疾病预防控制中心慢病处,福建厦门 361021
- 折叠
摘要
目的 分析2012-2022年福建省厦门市慢性病综合防控示范区的建设效果,为慢性病防控提供依据.方法 将厦门市2012-2016年的慢性病综合防控示范区全覆盖建设期定义为T,期,2017-2022年的巩固提升期定义为T2期.采用比例分层随机抽样的方法,从厦门市六个区慢性病及社会影响因素状况调查数据库中收集厦门市居民的慢性病及危险因素数据,T1期抽取调查对象20 535名,T2期抽取调查对象22 289名.分析T1期、T2期厦门市居民的主要慢性病患病率及危险因素变化趋势.结果 T1期、T2期厦门市居民的高血压患病率分别为16.51％(3 391/20 535)、15.35％(3 422/22 289),糖尿病患病率分别为6.24％(1 281/20 535)、4.30％(959/22 289),高胆固醇血症患病率分别为5.54％(1 138/20 535)、10.45％(2 329/22 289),肥胖患病率分别为 9.09％(1 867/20 535)、10.04％(2 239/22 289).与T1期相比,T2期居民的高血压、糖尿病患病率降低(x2值分别为10.758、80.776,P＜0.001),高胆固醇血症和肥胖患病率升高(x2值分别为345.93、11.21,P＜0.001),缺乏体育锻炼占比下降(x2=68.21,P＜0.001),每天食盐摄入量、每天油脂摄入量下降(x2=81.17,P＜0.001),慢性病高危人群标准知晓率上升(x2=32.11,P＜0.001).结论 实施慢性病综合防控示范区建设以来,厦门市居民主要慢性病患病率下降,危险因素干预效果明显,仍需对高胆固醇血症、肥胖及男性人群加强慢性病管理.
Abstract
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.
关键词
慢性病/综合防控/示范区/健康管理Key words
Non-communicable diseases/Comprehensive prevention and control/The demonstration areas/Health manage-ment引用本文复制引用
出版年
2024
NETL
NSTL
万方数据