摘要
目的 了解福建省厦门市居民主要慢性病患病情况,为加强慢性病防控提供依据.方法 于2017-2022年,采用分层随机抽样方法在厦门市6个区内按人口比例随机抽取≥18岁且居住时间≥6个月的常住居民为研究对象,通过问卷调查、体格检查和实验室检测收集人口学信息,疾病史、血压、空腹血糖和胆固醇等资料;计算高血压、糖尿病和高胆固醇血症的患病率,并采用2020年全国人口普查数据进行标化;分析不同性别、年龄的慢性病患病情况.结果 调查22 289人,其中男性10 444人,占46.86%;女性11 845人,占53.14%.高血压、糖尿病和高胆固醇血症粗患病率分别为15.35%、4.30%和10.45%,标化率分别为16.25%、4.81%和10.21%.男性高血压、糖尿病和高胆固醇血症标化率分别为19.20%、5.71%和9.97%,高于女性的13.62%、4.03%和10.29%(均P<0.05).18~<60岁男性高血压、糖尿病粗患病率高于女性,18~<50岁男性高胆固醇血症粗患病率高于女性,≥50岁男性高胆固醇血症患病率低于女性(均P<0.05).结论 2017-2022年厦门市居民慢性病患病率存在年龄、性别差异,男性应重点关注50岁以前高血压、糖尿病和高胆固醇血症患病情况,女性应重点关注50岁以后高胆固醇血症患病情况.
Abstract
Objective To investigate the prevalence of major chronic diseases among residents in Xiamen City,Fujian Province,so as to provide insights into enhancing the prevention and control of chronic diseases.Methods The resi-dents aged 18 years and older and lived for 6 months and more were selected from 6 districts in Xiamen City from 2021 to 2022 using the stratified random sampling method.Demographic information,disease history,blood pressure,fasting blood glucose and blood cholesterol were collected through questionnaire surveys,physical examination and labo-ratory tests.The prevalence rates of hypertension,diabetes and hypercholesterolemia were calculated and standardized using the 2020 National Population Census data,and were analyzed by age and gender.Results Totally 22 289 resi-dents were investigated,including 10 444 males(46.86%)and 11 845 females(53.14%).The prevalence rates of hyper-tension,diabetes and hypercholesterolemia were 15.35%,4.30%and 10.45%,and the standardized prevalence rates were 16.25%,4.81%and 10.21%,respectively.The standardized prevalence rates of hypertension,diabetes and hyper-cholesterolemia in males were 19.20%,5.71%and 9.97%,respectively,and were higher than those in females,which were 13.62%,4.03%and 10.29%,respectively(all P<0.05).The crude prevalence rates of hypertension and diabetes in males aged 18 to 59 years were higher than those in females,the crude prevalence rate of hypercholesterolemia in males aged 18 to 49 years was higher than that in females,and the crude prevalence rate of hypercholesterolemia aged 50 years and over in males was lower than that in females(all P<0.05).Conclusion From 2017 to 2022,the prevalence rates of hypertension,diabetes,and hypercholesterolemia in males were higher than those in females in Xia-men City,while the prevalence rate of hypercholesterolemia in females was higher than that in males after the age of 50 years.