J4 ›› 2011, Vol. 37 ›› Issue (2): 379-384.

• 基础研究 • 上一篇    下一篇

中国东北地区成人非传染性慢性疾病的流行病学调查及影响因素分析

石晓东1|魏琪2|何淑梅2|陶育纯3|孙捷2|牛俊奇1   

  1. 1. 吉林大学第一医院肝胆胰内科|吉林 长春 130021;2.吉林大学第一医院干部病房|吉林 长春 130021; 3.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
  • 收稿日期:2010-12-09 出版日期:2011-03-28 发布日期:2011-03-28
  • 通讯作者: 孙 捷 (Tel:0431-88782657,E-mail:sunjiesusan@126.com) 牛俊奇 (Tel:0431-88782708,E-mail:junqiniu@yahoo.com.cn) E-mail:sunjiesusan@126.com junqiniu@yahoo.com.cn
  • 作者简介:石晓东 (1981-)|女|黑龙江省绥化市人|在读医学博士|主要从事肝病的分子生物学方面的研究。
  • 基金资助:

    吉林省科技厅科研基金资助课题(200805107)

Epidemiology and analysis on risk factors of non-infectious chronic diseases in adults in northeast China

SHI Xiao-dong1,WEI Qi2,HE Shu-mei2,TAO Yu-chun3,SUN Jie2,NIU Jun-qi 1   

  1. 1. Department of Hepatobiliary,First Hospital, Jilin University,Changchun 130021,China;2. Department of Cadre Ward,First Hospital, Jilin University,Changchun 130021,China;3. Department of |Epidemiology and Health Statistics,School of Public Health,Jilin University,Changchun 130021,China
  • Received:2010-12-09 Online:2011-03-28 Published:2011-03-28

摘要:

[摘 要] 目的:了解中国东北吉林省德惠市城乡居民高血压、糖尿病(DM)、血脂紊乱、酒精性肝病(ALD)、非酒精性脂肪性肝病(NAFLD)、代谢综合征(MS)及肥胖(Obesity)等9种非传染性慢性疾病的流行病学现状,并对这些慢性病危险因素进行分析。方法:采用分层抽样方法,对德惠市11个居委会和9个村共6 043人进行问卷调查和体格检查。采用多因素Logistic回归分析对各疾病的相关危险因素进行分析。结果:东北地区德惠城乡居民的高血压、DM、血脂紊乱、ALD、NAFLD、MS、超重和中心型肥胖的患病率分别为28.67%、4.82%、51.00%、3.74%、15.5%、21.54%、58.22%和36.67%;不同疾病患病率性别间比较有差异,高血压患病率男性多于女性(P<0.001),中心性肥胖、血脂紊乱、MS和NAFLD患病率女性大于男性(P<0.05)。高龄(OR=1.04,95%CI为1.03~1.05)、脂肪肝(OR=19.42,95%CI为11.62~32.4)、高血糖(OR=1.15,95%CI为1.06~1.26)、高胆固醇血症(OR=1.38,95%CI为1.19~1.59)、高甘油三酯血症(OR=1.32,95%CI为1.1~1.49)和高体重指数(OR=1.42,95%CI为1.3~1.47)是非传染性慢性病的主要危险因素。结论:中国东北部地区德惠市部分非传染性慢性病的发病率较高,且随着年龄的增长患病率逐渐增高;慢性病的发病和进展与本地区的生活、饮食习惯、经济水平、教育程度、地区差异有明显相关性。

关键词: 非传染性慢性疾病;流行病学;患病率;危险因素

Abstract:

Abstract:Objective To provide epidemiological data of non-infectious chronic diseases containing hypertension,diabetes mellitus(DM),dyslipidemia,alcoholic fatty liver disease(ALD),non-alcoholic fatty liver disease(NAFLD),metabolic sydrome(MS),overweight and central obesity and determine their risk factors in Dehui city in Jilin Province. Methods A total of 6 043 individuals including 11 neighborhoods and 9 villages were chosen based on cross-section study. A multivariate logistic regression was conducted between non-infectious chronic diseases and those risk factors.Results The prevalences of hypertension,DM,dyslipidemia,ALD,NAFLD,MS,overweight and central obesity were reported as 28.67%,4.82%,51.00%,3.74%,15.5%,21.54%,58.22%, and 36.67%, respectively, and the prevalence of hypertention was higher in males than that in females(P<0.001),and the results were reversed in central obesity,dyslipidemia,MS and NALD(P<0.05).A multivariate logistic regression analysis showed  that the OR were 1.04(95%CI:1.03-1.05) for age,19.42(95%CI:11.62-32.4) forfatty liver,1.15(95%CI:1.06-1.26) for FBG,1.38 (95%CI: 1.19-1.59) for hypercholesterolemia,1.32(95%CI:1.1-1.49) for hypertriglyceridemia,1.42(95%CI:1.3-1.47)for BMI,which were the main risk factors for non-infectious chronic diseases.
Conclusion Non-infectious chronic diseases are very common among adult population in Dehui. As people get older the prevalence of various chronic diseases gradually increases .The occurrence and development  of non-infectious chronic diseases has significant relation with life habit,dietary habit,economic level and education.

Key words: non-infectious chronic diseases;epidemiology;prevalence;risk factors

中图分类号: 

  •