摘要
目的调查资中县≥18岁居民慢性病患病情况及影响因素,为健康促进策略的制定提供参考。方法本研究于2022年9月—2023年5月在资中县展开慢性病患病情况及影响因素的调查,按照分层多阶段整群随机抽样的方法,抽取11个镇、44个村/社区、2852户居民作为研究对象,按照不同的问卷调查所有≥18岁的成年人,问卷内容包括年龄、性别、文化程度、婚姻状况、吸烟情况、饮酒情况、就业状况、每日睡眠时长的差异与慢性病患病等情况,运用SPSS 26.0统计软件进行χ^(2)检验,采用logistic回归模型分析其慢性病现况及影响因素。结果在5983名调查对象中有2355例患有慢性病(39.40%);资中县成年人的年龄、性别、文化程度、婚姻状况、吸烟情况、饮酒情况、就业状况、每日睡眠时长的差异是患慢性病的影响因素(P<0.05)。二元logistic回归分析结果显示,老年(OR:8.071,95%CI:6.197~10.512,P<0.001)、女性(OR:1.175,95%CI:1.013~1.363,P=0.033)、离异或丧偶(OR:2.195,95%CI:1.830~2.632,P<0.001)、退休人员(OR:2.206,95%CI:1.747~2.785,P<0.001)、每天吸烟(OR:2.073,95%CI:1.598~2.690,P<0.001)、每日睡眠时长不足或过长[>540 min(OR:1.544,95%CI:1.231~1.936,P<0.001)]均是影响社区居民患慢性病的危险因素。无伴侣(OR:0.272,95%CI:0.191~0.388,P<0.001)、文化程度高[本科以上(OR:0.205,95%CI:0.125~0.335,P<0.001)]、饮酒频率每个月5~10 d(OR:0.753,95%CI:0.586~0.924,P=0.008)为保护因素。结论资中县社区人群慢性病患病率较高且影响因素较多,应加强对女性、老年人、文化程度低、离婚/丧偶、熬夜等人群进行吸烟、饮酒、健康睡眠等方面的健康教育。
Objective To investigate the prevalence and influencing factors of chronic diseases among Zizhong County residents aged 18 years and above,in order to provide reference for the development of health promotion strategies.Methods This research launched a survey on the influencing factors of chronic disease prevalence in Zizhong County from September 2022 to May 2023,this survey was conducted according to the stratified multi-stage whole cluster random sampling method,11 towns,44 villages/communities,and 2852 households were selected as the subject investigated,and all the adults aged 18 years old and above were surveyed according to the different questionnaires,the questionnaire included age,gender,educational level,marital status,smoking status,alcohol consumption,employment status,differences in daily sleep duration and chronic diseases,and SPSS 26.0 was utilized to conduct chi-square test and logistic regression modeling to explore the current status of chronic diseases in the population and its influencing factors.Results Among the 5983 respondents,2355 had chronic diseases(39.40%);the differences in age,gender,educational level,marital status,smoking status,drinking status,employment status,and daily sleep duration of adults in Zizhong County were the influencing factors for chronic diseases(P<0.05).The results of the binary logistic regression analysis showed that,old age(OR:8.071,95%CI:6.197-10.512,P<0.001),female(OR:1.175,95%CI:1.013-1.363,P=0.033),divorced or widowed(OR:2.195,95%CI:1.830-2.632,P<0.001),retirees(OR:2.206,95%CI:1.747-2.785,P<0.001),and daily smoking(OR:2.073,95%CI:1.598-2.690,P<0.001),with either an insufficient or too long daily sleep duration[>540 min(OR:1.544,95%CI:1.231-1.936,P<0.001)]are all risk factors for chronic diseases in community residents.No partner(OR:0.272,95%CI:0.191-0.388,P<0.001),high education[undergraduate(OR:0.205,95%CI:0.125-0.335,P<0.001)],drinking frequency of 5-10 d every month(OR:0.753,95%CI:0.586-0.924,P=0.008)were protective factors.Conclusions The prevalence of chronic diseases in Zizhong County is high and there are many influencing factors.Therefore,health education on smoking,drinking and healthy sleep should be strengthened for women,the elderly,less educated,divorced/widowed,and staying up late.
作者
陈权薪
黄润婷
罗清月
舒慧宇
袁艺宁
冯曦兮
CHEN Quan-xin;HUANG Run-ting;LUO Qing-yue;SHU Hui-yu;YUAN Yi-ning;FENG Xi-xi(School of Public Health,Chengdu Medical College,Sichuan 610500,China;不详)
出处
《慢性病学杂志》
2024年第10期1451-1456,1461,共7页
Chronic Pathematology Journal
关键词
慢性病患病率
影响因素
横断面研究
Disease prevalence of chronic diseases
Influencing factors
Cross-sectional studies
作者简介
陈权薪,大学本科,研究方向:社会医学、慢性非传染性疾病防治、流行病学;通信作者:冯曦兮,E-mail:583840943@qq.com
