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目的了解杭州市下城区流动人口慢性病患病情况及危险因素,为制定流动人口慢性病防控措施提供依据。方法采用多阶段分层整群抽样方法,选取杭州市下城区5个行业≥18周岁流动人口进行《中国慢性病及其危险因素监测(2012)流动人口专题调查问卷》调查、体格检查和实验室检测,分析慢性病患病的危险因素。结果共调查303人,慢性病患病率为39.60%,其中高血压16.17%、糖尿病2.97%、血脂异常28.71%、慢性阻塞性肺气肿0.99%、哮喘0.33%、恶性肿瘤0.66%、骨关节疾病3.30%和颈/腰部疾病3.63%。在不同行业、性别、年龄、文化程度、婚姻、BMI、腰围、居住情况、外出务工时间以及工作方式的流动人口中,慢性病患病率差异均有统计学意义(P<0.05)。多因素Logistic回归分析提示,从事住宿餐饮工作和社会服务,女性,初中、高中或中专、大专及以上文化程度是保护因素,其OR值分别为0.261、0.359、0.463、0.388、0.344和0.150;超重、肥胖和腰围(男性≥85 cm或女性≥80 cm)是危险因素,其OR值分别为6.112、11.321和2.315。结论杭州市城区流动人口慢性病患病率较高,宜根据不同行业患病状况及相关危险因素,采取针对性干预措施,以控制流动人口慢性病发展。
Objective To understand the prevalence and risk factors of chronic diseases in floating population in Xiacheng District, Hangzhou, and to provide evidence for the prevention and control of chronic diseases in floating population. Methods The multi-stage stratified cluster sampling method was used to select the floating population of ≥18 years of age from 5 industries in Xiacheng District of Hangzhou to conduct the survey, physical examination and laboratory tests on the “China Chronic Diseases and Hazards Monitoring (2012) Questionnaire on Floating Population” , Analyze the risk factors of chronic diseases. Results A total of 303 people were surveyed, the prevalence of chronic diseases was 39.60%, of which hypertension was 16.17%, diabetes mellitus 2.97%, dyslipidemia 28.71%, chronic obstructive pulmonary emphysema 0.99%, asthma 0.33%, malignant tumor 0.66% 3.30% and cervical / lumbar disease 3.63%. The prevalence of chronic diseases in different industries, sex, age, educational level, marriage, BMI, waist circumference, living conditions, working hours and working methods had statistical significance (P <0.05). Multivariate logistic regression analysis indicated that the education level of female, junior high school, high school or secondary technical school or above engaged in accommodation and catering services and social services were protective factors. The OR values were 0.261,0.359,0.463,0.388,0.344 and 0.150 respectively. Overweight, obesity and waist circumference (≥85 cm in men or ≥80 cm in women) were risk factors with ORs of 6.112, 11.321 and 2.315, respectively. Conclusion The prevalence of chronic diseases in floating population in Hangzhou City is high. According to the prevalence and related risk factors in different industries, targeted interventions should be taken to control the development of chronic diseases in floating population.