【摘要】 目的调查北京市海淀区胃食管反流病(GERD)的城乡患病率,比较GERD的城乡差异,作为制定干预措施的依据。方法采用多阶段分层整群抽样方法,GERD问卷(reflux disease questionnaire,RDQ)对北京市海淀区城区和农村地区2502名成年人群进行调查,使用SPSS16.0软件进行统计分析,用mantel-haenszel分层分析和χ2检验进行统计检验。结果北京市海淀区成年人群GERD患病率为8.27%,其中城区患病率为7.87%,农村地区为11.18%,农村高于城市,差异有统计学意义(χ2=3.86,P<0.05)。城市地区感觉生活压力大者GERD患病率高于感觉生活压力小者,差异有统计学意义(χ2=8.52,P=0.001),农村地区感觉生活压力大者GERD患病率也高于感觉生活压力小者,但差异无统计学意义(P>0.05)。城市地区,精神状态差者GERD患病率高于精神状态好者,差异有统计学意义(χ2=17.57,P=0.001)。在控制了性别、饮酒、年龄、体质量、生活压力后,经mantel-haenszel分层分析,农村地区GERD患病率仍高于城市地区(OR值分别为1.501、1.462、1.548、1.490、1.946,P<0.10)。结论农村地区人口GERD患病率较城市人口高,城市和农村人口都存在一定的不良生活习惯,应及时采取相应的干预措施。更多还原

【Abstract】 Objective To investigate the morbidities of gastro-esophageal reflux disease(GERD)in urban and rural areas in Haidian district of Beijing so as to provide an evidence for making intervening policies.Methods Totally 2 502 residents from urban and rural areas of Haidian district in Beijing were selected by using multi-stage stratified cluster sampling,and questionnaire survey was used to obtain the information on GERD.SPSS 16.0 was used to conduct Mantel-Hansel stratified analysis and Chi-square test.Results The morbidity of GERD in adult group of Haidian was 8.27%.And it was 7.87% in the urban area and 11.18% in the rural area,the difference showed statistical significance(χ2=3.86,P<0.05).The morbidity of GERD was higher in people with a sensation of higher life stress than those with a sensation of lower life stress in the urban area,with a significant difference(χ2=8.52,P=0.001).And so was in the rural area,but with no significant difference(P>0.05).The morbidity of GERD was higher in people with poorer mental status than those with better mental status in the urban area(χ2=17.57,P=0.001).After controlling for gender,drinking,age,body weight and life pressure,the morbidity of GERD in the rural area was still higher than in the urban area through Mantel-Hansel stratified analysis(OR=1.501,1.462,1.548,1.490,1.946,P<0.10).Conclusion The morbidity of GERD in rural are is still higher than in urban area,People in both areas have certain bad life habits,which should be timely intervened.更多还原