Prevalence and influencing factors of chronic bone diseases among community residents in Beijing
Objective To analyze the prevalence and influencing factors of chronic bone diseases among community adult residents in Beijing,and provide the reference basis for the prevention and treatment of chronic bone diseases.Methods The data were from the 2011 surveillance survey of adult chronic disease and its risk factors in Beijing.From September to November 2011,the multi-stage stratified random cluster sampling method was used to select the permanent residents(18-79 years old)in Beijing as the subjects.The investigation was performed with questionnaire(including the information on basic characteristics of the subjects,symptoms and diagnosis of chronic bone disease,as well as physical examination and lifestyle).Sample weights were calculated using the Beijing population in 2010.Rao-Scott x2 test,multivariate logistic regression and population-attributable scores calculation were used to analyze the data,the results were standardized by complex sampling weights.The used software was SPSS 22.0 and R 3.6.3.Results In the study,20 240 subjects were in included,the number of self-reported symptoms of chronic bone disease was 8 652 cases,the normalization rate of self-reported symptoms was 38.7％,the normalization rate(45.8％)of self-reported symptoms in females was significantly higher than that(32.0％)in males(P＜0.01).The self-reported symptoms were low back pain and neck and shoulder pain as the most common(the standardized rate were 23.5％and 21.0％,respectively),and the normalization rate of self-reported symptoms with two or more symptoms was 14.0％.The standardized prevalence of physician-diagnosed chronic bone disease was 15.5％,and the standardized detection rate was 41.8％in residents with self-reported symptoms,the standard morbidity rates(8.6％,5.3％and 2.5％,respectively)of cervical spondylosis,lumbar disc herniation and osteoporosis were top 3.Multivariate logistic regression analysis showed that advanced age(30-49 years old:OR=3.097,95％CI:2.458-3.903;50-64 years old:OR=5.314,95％CI:4.126-6.844;65 years and older:OR=5.352,95％CI:3.922-7.305),female(OR=2.175,95％CI:1.906-2.482),overweight(OR=1.163,95％CI:1.043-1.296),and obesity(OR=1.220,95％CI:1.073-1.387)were associated with a higher risk of chronic bone disease.Advanced age(30-49 years old:OR=7.717,95％CI:2.732-21.794;50-64 years old:OR=21.548,95％CI:7.472-62.135;65 years and older:OR=28.995,95％CI:9.624-87.354),female(OR=2.671,95％CI:1.915-3.725),obesity(OR=1.303,95％CI:1.012-1.677),diabetes mellitus(OR=1.393,95％CI:1.101-1.763)and inadequate physical activity(OR=1.292,95％CI:1.067-1.565)were associated with a higher risk of osteoporosis.Population-attributable score results indicated that 8.6％of chronic bone disease was attributed to overweight or obesity,and 15.0％of osteoporosis was attributed to physical inactivity.Conclusion The morbidity of chronic bone disease in community residents of Beijing is high,so attention should be paid to the elderly and female population.Maintaining normal weight level and participating in moderate physical activity are of public health significance to reduce the risk of chronic bone disease.
Cervical spondylosisLumbar diseaseOsteoporosisCommunity populationMorbidityChronic bone disease
NETL
NSTL
万方数据
