【摘要】 目的 了解北京市大兴区60～79岁社区居民“三高”共病现状及其影响因素。方法 2022年，大兴区开展了社区诊断工作。通过按人口规模成比例概率抽样(probabilities proportional to size, PPS)的方法选取常住居民8 500名，对其开展高血压、糖尿病、血脂异常的诊断性测量、健康指标测量以及相关因素问卷调查。其中1 817名60～79岁社区居民中1 520人为有效问卷，采用χ~2检验分析该人群不同特征间“三高”共病患病率间差异，非条件logistic回归分析该人群“三高”共病患病相关因素。结果 60～79岁社区居民中80.99%至少患“三高”中的1种慢性病，其中患1种慢性病者占37.76%,患2种慢性病者占31.38%,患3种慢性病者占11.84%。有家族遗传史(OR=1.606, 95%CI:1.237～2.085)、饮酒(OR=1.346, 95%CI:1.056～1.716)、超重或肥胖(OR=1.696, 95%CI:1.352～2.127)、有睡眠问题(OR=1.378, 95%CI:1.110～1.710)是“三高”共病的危险因素。结论 大兴区应针对60～79岁社区居民开展高血压、糖尿病、血脂异常多种慢性病的综合干预，制定并实施包括预防超重肥胖、限制饮酒、改善睡眠质量等“三高共管”干预策略。更多还原

【Abstract】 Objective To investigate the status of “three high” comorbidities and its influencing factors among residents aged 60-79 years in communities in Daxing district, Beijing.Methods In 2022, Daxing district launched community diagnosis work, 8 500 permanent residents were selected through probabilities proportional to size(PPS) quota sampling method, and the diagnostic measurements of hypertension, diabetes, dyslipidemia, health index measurement and related factors questionnaire were carried out. Among them, there were 1 817 community residents aged 60-79 years and finally 1 520 valid questionnaires were obtained. The χ~2 test was used to analyze the difference in the prevalence of “three high” comorbidities among different populations, and unconditional logistic regression was used to analyze the related factors of “Three high” comorbidities.Results Among residents aged 60-79 years in communities, 80.99% of them suffered from at least one of the “three high” chronic diseases, 37.76% suffered from one chronic disease, 31.38% suffered from two chronic diseases and 11.84% suffered from three chronic diseases. The study result showed that family genetic history(OR=1.606, 95%CI:1.237-2.085), drinking alcohol(OR=1.346, 95%CI:1.056-1.716), overweight or obesity(OR=1.696, 95%CI:1.352-2.127) and sleep problems(OR=1.378, 95%CI:1.110-1.710) were risk factors for the “three high” comorbidities.Conclusions Comprehensive intervention should be carried out on various chronic diseases such as hypertension, diabetes and dyslipidemia for residents aged 60-79 years in communities of Daxing district, and “three high co-management” intervention strategies including preventing overweight and obesity, limiting alcohol consumption and improving sleep quality should be implemented.更多还原