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目的了解湖北省就业流动人口的主要慢性病患病情况,为制定慢性病预防控制策略及推动流动人口基本公共卫生服务均等化提供科学依据。方法 2012年采用按行业分层多阶段整群抽样方法,抽取湖北省6个区县的18岁及以上就业流动人口,利用Waldχ2及Rao-Scottχ2分别进行趋势及差异性检验,分析18~59岁就业流动人口主要慢性病患病情况。结果共有1 724例样本人群纳入分析。超重率为30.7%(95%CI:25.7%~35.6%),男性为40.6%(95%CI:31.7%~49.5%),女性为20.9%(95%CI:16.8%~24.9%),男性高于女性,差异有统计学意义(P<0.01)。肥胖率为7.8%(95%CI:6.3%~9.4%),男性为11.5%(95%CI:7.6%~15.5%),女性为4.2%(95%CI:2.2%~6.1%),男性高于女性,差异有统计学意义(P<0.01)。超重率和肥胖率均随着年龄的增加而呈上升趋势,差异均有统计学意义(P<0.01,P<0.05)。高血压患病率为16.5%(95%CI:13.6%~19.5%),男性为24.3%(95%CI:19.0%~29.6%),女性为8.9%(95%CI:6.5%~11.3%),男性高于女性,差异有统计学意义(P<0.01),随着年龄的增加,男女性高血压患病率均呈逐渐上升趋势(P<0.01);随着文化程度的提高,男女性高血压患病率则均呈逐渐下降趋势,差异均有统计学意义(P<0.01);不同行业间,建筑业高血压患病率最高(26.5%,95%CI:19.4%~33.6%)。糖尿病患病率为4.4%(95%CI:3.0%~5.7%),男性为5.4%(95%CI:4.3%~6.4%),女性为3.4%(95%CI:0.9%~5.9%),男女性之间差异无统计学意义(P>0.05),随着年龄的增加,男性与女性糖尿病患病率均呈上升趋势(P<0.01)。结论湖北省就业流动人口慢性病患病情况不容乐观,要针对不同行业流动人口开展相应的健康教育工作,尤其要关注男性从业人员的慢性病及其行为危险因素状况。
Objective To understand the prevalence of major chronic diseases among employed and floating population in Hubei Province, and to provide a scientific basis for formulating prevention and control strategies for chronic diseases and promoting the equalization of basic public health services for floating population. Methods In 2012, a stratified and multistage cluster sampling method based on industry was adopted to select migrant population aged 18 years and above from 6 districts and counties in Hubei Province. The trend and difference of the population were analyzed by Wald 2 and Rao-Scott 2 respectively. The main chronic diseases of the floating population of employment situation. Results A total of 1 724 samples were included in the analysis. The rates of overweight were 30.7% (95% CI: 25.7% -35.6%), 40.6% (95% CI: 31.7% -49.5%) in males, 20.9% (95% CI: 16.8% -24.9%) in males Higher than women, the difference was statistically significant (P <0.01). The obesity rates were 7.8% (95% CI: 6.3% -9.4%), 11.5% for males (7.6% to 15.5% for 95% CIs), 4.2% for women (95% CI 2.2% to 6.1% Higher than women, the difference was statistically significant (P <0.01). The rates of overweight and obesity increased with the increase of age, the differences were statistically significant (P <0.01, P <0.05). The prevalence of hypertension was 16.5% (95% CI: 13.6% to 19.5%), 24.3% for men (95% CI: 19.0% to 29.6%) and 8.9% for women (95% CI: 6.5% to 11.3% ) Were higher in males than in females (P <0.01). With the increase of age, the prevalence of hypertension in males and females showed a gradual upward trend (P <0.01). With the improvement of educational level, male The prevalence rates of hypertension in women all showed a trend of decreasing gradually with the difference statistically significant (P <0.01). Among different industries, the prevalence of hypertension in construction industry was the highest (26.5%, 95% CI: 19.4% -33.6% ). The prevalence of diabetes was 4.4% (95% CI: 3.0% -5.7%), 5.4% for men (95% CI: 4.3% -6.4%) and 3.4% for women (95% CI: 0.9% -5.9% There was no significant difference between men and women (P> 0.05). The prevalence of diabetes in both men and women increased with age (P <0.01). Conclusions The prevalence of chronic diseases among employment floating population in Hubei Province is not optimistic. Health education should be carried out according to the floating population in different industries. In particular, attention should be paid to the status of chronic diseases and behavioral risk factors among male employees.