«上一篇/Previous Article|本期目录/Table of Contents|下一篇/Next Article»

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:

期数:

2013年09期

页码:

657-660

栏目:

论著

出版日期:

2013-09-30

文章信息/Info

Title:

Survey of prevalence and prevention of common chronic diseases in Shijingshan district of Beijing

作者:

史平; 安欣华; 任福秀; 马兰艳; 刘立勇; 王丹

北京市石景山区疾病预防和控制中心,北京 100043

Author(s):

SHI Ping; AN Xin-hua; REN Fu-xiu; MA Lan-yan; LIU Li-yong; WANG Dan

Shijingshan District Center for Disease Control and Prevention,Beijing 100043,China Corresponding author:SHI Ping,E-mail:shiping1954@126.com

关键词:

高血压;  糖尿病;  血脂异常;  心脑血管病

Keywords:

Hypertension;  Diabetes;  Dyslipidemia;  Cardiovascular and cerebrovascular disease

分类号:

R544.1

DOI:

-

摘要:

目的 了解北京市石景山区高血压、糖尿病等慢性病的流行特征及防治水平。方法 2012年在北京市石景山区的9个社区进行慢性病现况调查,调查年龄在18岁及以上常住居民共3 960名,其中男性1 498名,女性2 462名。调查收集居民有关高血压、糖尿病和血脂异常等的患病和治疗情况,对被调查者的身高、体重、腰围、血压测量和空腹血糖、血脂进行了测定。结果 该地区居民的高血压患病率和知晓率、治疗率及控制率分别为44.49%、65.62%、 62.59%、 39.12%,糖尿病分别为15.26%、 77.46%、 62.60%、39.40%,血脂异常分别为45.03%、32.59%、14.30%、9.09%。各种慢性病患病率均随年龄的增长而显著增高,男性50岁以前患病率明显高于女性,但在50岁后女性患病率快速上升,60岁以后甚至超过男性。多因素回归分析显示:高血压、糖尿病、超重/肥胖、高龄、腹型肥胖等是心脑血管病的主要危险因素。结论 北京市石景山区居民常见慢性病患病率高,且有上升趋势,疾病知晓率、治疗率和控制率有待提高。控制慢性病发病、加强慢性病规范化管理及提升治疗效果,是当前慢性病的工作重点。

Abstract:

Objective To study the epidemic of chronic diseases such as hypertension,diabetes and their prevention and treatment in Shijingshan district in Beijing. Methods Chronic diseases were investigated in 9 communities of Shijingshan district in 2012.3 960 residents aged 18 years and older were investigated,including 1 498 males and 2 462 females.The survey collected data on chronic diseases,such as high blood pressure,diabetes and abnormal blood lipid level and the treatment,as well as the measurements of height,weight,waist circumference,blood pressure,fasting blood glucose and blood lipid.The diagnosis of the diseases were determined according to relevant guidelines diagnostic criteria. Results The prevalence of hypertension awareness,treatment and controlled rates were 44.49%,65.62%,62.59% and 39.12% respectively.For diabetes these rates were 15.26%,77.46%,62.60% and 39.40% respectively.For lipid abnormality the above rates were 45.03%,32.59%,14.30% and 9.09% respectively.Prevalence of these chronic diseases increases with age and the prevalence in men aged 50 years and younger is significantly higher than that in female,but after 50 years old the prevalence increased rapidly in women,and was higher than that in men after age of 60.Multivariate Logistic regression analysis showed that high blood pressure,diabetes,higher body mass index(BMI),older age and obesity/overweight are major risk factors of cardio-cerebrovascular diseases. Conclusions The prevalence of hypertension,diabetes,hyperlipidemia in Shijingshan district is high and is still increasing,but the rates of awareness,treatment and controlling of disease were not high and need to be promoted.The control and prevention of chronic diseases,and strengthening the standardized management of chronic disease and promoting treatment effect,are the current focus of the chronic disease prevention and management.

参考文献/References:

[1] 中国成人血脂异常防治指南制定联合委员会.中国成人血脂异常防治指南[J].中华心血管病杂志,2007,35(5):390-419.
[2] 中国肥胖问题工作组数据汇总分析协作组.我国成人体质指数和腰围对相关疾病危险因素异常的预测价值:适宜体质指数和腰围切点的研究[J].中华流行病学杂志,2002,23(1):5-10.
[3] 中华人民共和国国家统计局.第五次全国人口普查公报(第1号)[EB/OL].
[2002-03-31].http://www.stats.gov.cn/tjgb/rkpcgb/qgrkpcgb/t20020331_15434.htm.
[4] 张普洪,焦淑芳,周滢,等.北京市2005年18岁及以上居民主要慢性病的流行特征和防治水平调查[J].中华流行病学杂志,2007,28(7):625-630.
[5] 乔淑媛,宋玉英,余辉,等.秦皇岛市青龙满族自治县居民高血压危险因素分析[J].实用预防医学,2011,18(2):359-360.
[6] 辛化雷,孙健平,曹乾斌,等.青岛市35～74岁居民常见慢性病患病情况[J].中国慢性病预防与控制,2013,21(2):1-3.
[7] 姚思君,曾伟,魏咏兰,等.成都城乡居民高血压流行现状及危险因素分析[J].中国慢性病预防与控制,2012,20(3):265-267.
[8] 颜芳,张茂容,杨昭,等.昆明市居民高血压和糖尿患病率和知晓率分析[J].中国慢性病预防与控制,2012,20(6):331-332.
[9] 丁淑琴,杨学军,邢丽丽,等.北京市东城区成年人慢性病患病现状及危险因素分析[J].中国健康教育,2012,28(3):188-190.
[10] 王陇德.中国居民营养与健康状况调查报告之一:综合报告[M].北京:人民卫生出版社,2005:55-57.
[11] 武阳丰,谢高强,李莹,等.中国部分中年人群糖尿病患病率、知晓率、治疗率及控制率的现况调查[J].中华流行病学杂志,2005,26:564-568.
[12] 边波,万征,李永乐,等.天津市区成人脑卒中流行病学特征及相关因素分析[J].中国慢性病预防与控制,2012,20(6):287-289.

备注/Memo

备注/Memo:

作者简介:史平,本科,副主任医师,主要从事慢性病防治和健康教育工作 通讯作者:史平,E-mail: shiping1954@126.com

常用功能

更新日期/Last Update: 2013-09-30