【摘要】 目的:了解中国东北吉林省德惠市城乡居民高血压、糖尿病(DM)、血脂紊乱、酒精性肝病(ALD)、非酒精性脂肪性肝病(NAFLD)、代谢综合征(MS)及肥胖(Obesity)等9种非传染性慢性疾病的流行病学现状,并对这些慢性病危险因素进行分析。方法:采用分层抽样方法,对德惠市11个居委会和9个村共6 043人进行问卷调查和体格检查。采用多因素Logistic回归分析对各疾病的相关危险因素进行分析。结果:东北地区德惠城乡居民的高血压、DM、血脂紊乱、ALD、NAFLD、MS、超重和中心型肥胖的患病率分别为28.67%、4.82%、51.00%、3.74%、15.5%、21.54%、58.22%和36.67%;不同疾病患病率性别间比较有差异,高血压患病率男性多于女性(P<0.001),中心性肥胖、血脂紊乱、MS和NAFLD患病率女性大于男性(P<0.05)。高龄(OR=1.04,95%CI为1.03～1.05)、脂肪肝(OR=19.42,95%CI为11.62～32.4)、高血糖(OR=1.15,95%CI为1.06～1.26)、高胆固醇血症(OR=1.38,95%CI为1.19～1.59)、高甘油三酯血症(OR=1.32,95%CI为1.1～1.49)和高体重指数(OR=1.42,95%CI为1.3～1.47)是非传染性慢性病的主要危险因素。结论:中国东北部地区德惠市部分非传染性慢性病的发病率较高,且随着年龄的增长患病率逐渐增高;慢性病的发病和进展与本地区的生活、饮食习惯、经济水平、教育程度、地区差异有明显相关性。更多还原

【Abstract】 Objective To provide epidemiological data of non-infectious chronic diseases containing hypertension,diabetes mellitus(DM),dyslipidemia,alcoholic fatty liver disease(ALD),non-alcoholic fatty liver disease(NAFLD),metabolic sydrome(MS),overweight and central obesity and determine their risk factors in Dehui city in Jilin Province.Methods A total of 6 043 individuals including 11 neighborhoods and 9 villages were chosen based on cross-section study.A multivariate logistic regression was conducted between non-infectious chronic diseases and those risk factors.Results The prevalences of hypertension,DM,dyslipidemia,ALD,NAFLD,MS,overweight and central obesity were reported as 28.67%,4.82%,51.00%,3.74%,15.5%,21.54%,58.22%,and 36.67%,respectively,and the prevalence of hypertention was higher in males than that in females(P<0.001),and the results were reversed in central obesity,dyslipidemia,MS and NALD(P<0.05).A multivariate logistic regression analysis showed that the OR were 1.04(95%CI:1.03-1.05) for age,19.42(95%CI:11.62-32.4) for fatty liver,1.15(95%CI:1.06-1.26) for FBG,1.38(95%CI: 1.19-1.59) for hypercholesterolemia,1.32(95%CI:1.1-1.49) for hypertriglyceridemia,1.42(95%CI:1.3-1.47)for BMI,which were the main risk factors for non-infectious chronic diseases.Conclusion Non-infectious chronic diseases are very common among adult population in Dehui.As people get older the prevalence of various chronic diseases gradually increases.The occurrence and development of non-infectious chronic diseases has significant relation with life habit,dietary habit,economic level and education.更多还原