【摘要】 目的 剖析苏州市某社区居民慢性病患病情况及影响因素,为社区慢性病综合管理及防治提供依据。方法 采用整群随机抽样方法抽取苏州市某社区202户共788名居民,对其开展问卷调查、体格测量和实验室检测,计算慢性病患病率等指标,采用SPSS 26.0进行统计学分析。结果 苏州市某社区慢性病患病率为36.55%,前5位分别是高血压(32.49%)、糖尿病(7.87%)、血脂异常(6.47%)、冠心病(2.03%)和脑卒中(1.90%)。多因素logistic回归分析结果显示,60～79岁(OR=24.409,95%CI:8.503～70.073)、≥80岁(OR=45.889,95%CI:12.550～167.780)、慢性病家族史(OR=6.545,95%CI:4.205～10.189)、超重或肥胖(OR=1.811,95%CI:1.205～2.723)是慢性病患病的影响因素。结论 该社区居民慢性病患病率较高,应重点关注60～79岁、≥80岁、慢性病家族史、超重和肥胖等高危人群,应加强社区慢性病综合管理与防治,预防慢性病的发生和发展。更多还原

【Abstract】 Objective To analyze the prevalence and influencing factors of chronic diseases among residents of a community in Suzhou City, and to provide a basis for the comprehensive management and prevention of chronic diseases in the community.Methods A total of 788 residents from 202 households in a community in Suzhou City were sampled using the whole cluster random sampling method. Questionnaire surveys, physical measurements, and laboratory tests were carried out to calculate the prevalence of chronic diseases and other indicators. SPSS 26. 0 was used for statistical analysis.Results The prevalence rate of chronic diseases in a community in Suzhou City was 36. 55%, and the top five were hypertension(32. 49%), diabetes(7. 87%), dyslipidemia(6. 47%), coronary heart disease(2. 03%), and stroke( 1. 90%). The results of multivariate logistic regression analysis showed that 60-79 years old(OR= 24. 409, 95%CI: 8. 503-70. 073), ≥80 years old(OR= 45. 889, 95%CI: 12. 550-167. 780), family history of chronic diseases(OR= 6. 545, 95%CI: 4. 205-10. 189), overweight or obesity(OR= 1. 811, 95%CI: 1. 205-2. 723) were influencing factors for the prevalence of chronic diseases.Conclusion The prevalence of chronic diseases among residents in this community is high, and the focus should be on high-risk groups such as those aged 60-79 or ≥80, with family history of chronic diseases, overweight and obesity, etc. The comprehensive management and prevention of chronic diseases in the community should be strengthened to prevent the occurrence and development of chronic diseases.更多还原