吉林大学学报(医学版)

• 基础研究 • 上一篇    下一篇

吉林省成年居民慢性病患病率及其疾病谱调查分析

王诗镔1,寇长贵1,刘雅文1,李 波1,陶育纯1,刘宇赤2,钟 磊2,范 明3,朱颖俐3,刘中正2,于雅琴1   

  1. 1.吉林大学公共卫生学院流行病与卫生统计学教研室,吉林 长春 130021;2. 吉林省卫生厅科技教育处,吉林 长春 130051;3. 吉林省疾病预防控制中心慢性非传染性疾病预防控制所,吉林 长春 130062
  • 收稿日期:2013-06-17 出版日期:2013-09-28 发布日期:2013-12-13
  • 通讯作者: 于雅琴(Tel: 0431-85619163,E-mail:yuyaqin5540@163.com); 刘中正(Tel: 0431-88905957,E-mail:lzz1964@yahoo.com.cn) E-mail:yuyaqin5540@163.com;lzz1964@yahoo.com.cn
  • 作者简介:王诗镔(1986-),男,黑龙江省哈尔滨市人,在读医学博士,主要从慢性病流行病学研究。 
  • 基金资助:

    吉林省卫生厅科研基金资助课题(2011Z116)

Analysis on prevalence rate and disease spectrum of chronic disease  in adult residents in Jilin province

WANG Shi-bin,KOU Chang-gui1,LIU Ya-wen1,LI Bo1,TAO Yu-chun1,LIU Yu-chi2,ZHONG Lei2,
FAN Ming3,ZHU Ying-li3,LIU Zhong-zheng2,YU Ya-qin1
   

  1. 1. Department of Epidemiology and Health Statistics,School of Public Health,Jilin University,Changchun 130021,China;2. Science and Technology and Education Division,Jilin Department of Health,Changchun 130051,China;3. Office of Non-communicable Chronic Diseases Control and Prevention,
    Jilin Provincial Center for Disease Control and Prevention,Changchun 130062,China
  • Received:2013-06-17 Online:2013-09-28 Published:2013-12-13

摘要:

目的:了解慢性非传染性疾病及其疾病谱在吉林省不同地区、不同人群的流行状况,为制定慢性病防制的策略和措施提供依据。方法:采用多阶段分层随机整群抽样方法,于2012年抽取吉林省32个县(市、区)18~79岁23 050名居民进行面对面访谈以调查其慢性病患病情况;采用复杂加权的方法估计其慢性病的患病率。结果:吉林省成年居民慢性病总患病率为51.6%,农村(55.7%)高于城市(48.3%),女性(57.6%)高于男性(46.0%),差异均有统计学意义(P<0.001),患病率随年龄增长呈上升趋势;系统别慢性病患病率前5位依次为循环系统疾病(23.5%),消化系统疾病(19.1%),骨骼肌肉系统和结缔组织疾病(18.1%),泌尿系统疾病(12.3%),内分泌、营养和代谢疾病(7.6%);疾病别慢性病患病率前5位依次为高血压(13.3%)、慢性胃肠炎及溃疡(11.4%)、椎间盘疾病(11.4%)、缺血性心脏病(7.7%)和关节炎(7.0%)。结论:吉林省成年居民慢性病患病率高于既往国内相关调查结果,不同地区、不同人群慢性病的流行状况存在差异,提示应加大对慢性病防治力度,结合慢性病流行特征采取有针对性的防治措施。

关键词:  , 慢性病, 患病率, 现况调查, 吉林省

Abstract:

Objective To examine the prevalence rate and disease spectrum of non-communicable chronic diseases in different areas and different population of Jilin province and to provide evidence for making prevention and controlling strategies of chronic diseases. Methods A total of 23 050 adult residents aged 18-79years from 32 districts of Jilin province were selected by multistage cluster randomly sampling.The investigation with questionnaire was conducted in face-to-face style,and chronic diseases conditions were self-reported.Complex weightedcomputation was used in the prevalence rate estimation. Results The total prevalence rate of chronic diseases was 51.6%.The residents in rural areas had a higher prevalence rate compared with residents in urban areas (55.7% vs 48.3%,P<0.001).The female residents had a higher prevalence rate compared with male residents (57.6% vs 46.0%,P<0.001).The prevalence rate was increased with the age increasing.The top 5 of the most prevalent systemic chronic diseases were disease of circulatory system (23.5%),disease of digestive system (19.1%),disease of musculoskeletal system and connective tissue (18.1%),disease of genitourinary system (12.3%) and endocrine and nutritional and metabolic diseases (7.6%).The top 5  of the most prevalent chronic diseases were hypertension (13.3%),chronic gastroenteritis/peptic ulcer (11.4%),intervertebral disc disease (11.4%),ischemic heart disease (7.7%),and arthritis (7.0%). Conclusion The adult residents in Jilin province have a higher prevalence rate of chronic diseases compared with the results of the other similar investigation in China.There are differences in the distributional haracteristics of chronic disease among different areas and different populations.Health system should provide more strength in preventing and controlling chronic diseases according to the differentdistribution of them in different populations and different areas.

Key words: chronic disease, prevalence, cross-sectional study, Jilin province

中图分类号: 

  •