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目的了解红河州成年人超重和肥胖流行特征及其影响因素,为制定相关防制策略和措施提供参考依据。方法采用多阶段分层随机整群抽样的方法,于2014年3-8月对红河州4 704名18岁及以上居民进行人口学及主要生活行为的问卷调查和体格检查,计算超重率和肥胖率,应用SPSS 16.0软件对数据进行χ2检验和方差分析。采用拟合非条件二分类logistic回归模型进行超重和肥胖的多因素分析,探讨超重和肥胖的影响因素。结果红河州18岁及以上居民超重率为27.1%,肥胖率为10.7%,中心性肥胖率为34.6%。城市居民肥胖率高于农村,女性高于男性,45~岁年龄组高于其他年龄组,差异均有统计学意义(P<0.05,P<0.01)。多因素logistic回归分析结果显示,已婚居民的超重与肥胖率高于其他婚姻状况居民(OR=1.5),现在吸烟者高于不吸烟者(OR=1.2),年龄≥35岁居民高于18~34岁年龄组(OR=1.4),城市居民高于农村居民(OR=1.4),中心性肥胖者高于非中心性肥胖居民(OR=11.1)。结论红河州成年人超重和肥胖率处于较高水平,不同特征人群存在差异,亟待加强红河州超重和肥胖防控工作。
Objective To understand the prevalence and influencing factors of overweight and obesity among adults in Honghe Prefecture and provide reference for formulating relevant prevention and control strategies and measures. Methods A multistage stratified random cluster sampling method was used to conduct a questionnaire survey and physical examination of 4 704 residents aged 18 years and over in Honghe Prefecture from March to August 2014 to calculate the prevalence of overweight and obesity Rate, the application of SPSS 16.0 software χ2 test data and analysis of variance. Multivariate analysis of overweight and obesity using a non-conditional binary logistic regression model was conducted to investigate the influencing factors of overweight and obesity. Results Honghe Prefecture residents over 18 years old and overweight rate was 27.1%, obesity rate was 10.7%, central obesity rate was 34.6%. The prevalence of obesity in urban residents was higher than that in rural areas. The prevalence of obesity in urban residents was higher than that in males. The prevalence of obesity in urban residents was higher than that of other age groups (P <0.05, P <0.01). Multivariate logistic regression analysis showed that the overweight and obesity rates of married residents were higher than those of other marital status (OR = 1.5), and were higher in smokers than in nonsmokers (OR = 1.2), and were higher than 18 The age group of 34 years old (OR = 1.4), urban residents than rural residents (OR = 1.4), central obesity was higher than non-central obesity residents (OR = 11.1). Conclusion The overweight and obesity rates of adults in Honghe Prefecture are at a high level, and there are differences among different population characteristics. It is imperative to strengthen the prevention and control of overweight and obesity in Honghe Prefecture.