【摘要】 目的了解湖南省浏阳市主要慢性病的流行状况及其影响因素,为预防控制慢性病提供理论及实践依据。方法采用分层整群抽样的方法在浏阳市抽取3个乡镇,对15岁以上居民进行入户普查,共计调查42 713人。采用描述性流行病学的方法分析浏阳市常住居民健康状况和慢性病患病现状,应用多因素Logistic回归分析探索慢性病的影响因素。结果 2007年浏阳市农村居民慢性病的患病率为21.96%,根据浏阳市农村居民年龄构成标准化后的总患病率为23.42%;患病率居前4位的慢性病为高血压(38.3‰)、肾结石(10.0‰)、冠心病(8.1‰)和慢性支气管炎(5.8‰)。浏阳市农村居民患慢性病的影响因素有体质指数高、高龄、低文化程度、工作不稳定、戒烟和低收入等。结论湖南浏阳市农村地区居民慢性病患病率较高,心脑血管疾病、肾结石是危害居民健康的主要慢性疾病,疾病防控部门应针对浏阳市农村居民患病的危险因素,制定和实施积极的防制措施。更多还原

【Abstract】 Objective To explore the prevalence of chronic disease(CD) and its risk factors among rural population in Hunan Province.Methods An epidemiological survey was conducted among 42 713 adults in three rural areas in Hunan Province.A cross-sectional survey was performed on adults aged over 15 years using cluster random sampling in Liuyang City.Descriptive epidemiology method was used to calculate the CD prevalence.The risk factors were analyzed using binary Logistic regression.Results The prevalence rate of CD among rural residents of Liuyang was 21.96%.Hypertension,kidney stone,coronary heart disease and chronic bronchitis were the top four CDs in the study population with prevalence rates of 38.3‰,10.0‰,8.1‰,5.8‰,respectively.Binary Logistic regression analysis showed that the determinants of CD were higher body mass index(BMI),elderly population,low educational levels,lack of stable employment,former smoking status,and low income levels.Conclusions The rural areas of Liuyang City have high prevalence rates of CD,especially cardiovascular disease and kidney stone.The relevant health departments should take effective measures to strengthen the prevention and control of CDs in these areas.更多还原