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目的为掌握江阴市社区慢性非传染性疾病现状及原因,确定目标干预人群,为慢性病防治干预措施提供依据。方法采用分层随机整群抽样法抽取35岁以上常住人群4500人进行入户调查。结果缺少体育锻炼率81.8%、肥胖率52.7%、吸烟率26.3%(男性60.1%)、过量饮酒率22.7%、口味偏咸率15.8%。高血压、高脂血症、冠心病、脑卒中、糖尿病现患率为35.4%、2.6%、2.4%、1.4%、1.3%。结论江阴市居民35岁以上人群中有46.6%的人患有各种慢性病,主要病种为高血压、心脑血管疾病、糖尿病、胃及十二指肠疾病、慢性呼吸道疾病、恶性肿瘤等。60岁以上老年人患有高血压、冠心病、脑卒中、糖尿病或恶性肿瘤的总比率达72.5%。与慢性病相关的主要行为危险因素为吸烟、过量饮酒、肥胖、超重、缺少体育锻炼、口味偏咸等。积极倡导健康科学的生活方式,切实加强慢性病干预工作,是降低江阴市慢性病发病率的当务之急。
Objective To understand the status quo and causes of chronic non-communicable diseases in Jiangyin community and determine the target intervention population to provide the basis for prevention and treatment of chronic diseases. Methods A stratified random cluster sampling method was used to extract 4500 resident population over the age of 35 for household survey. Results The lack of physical exercise rate of 81.8%, obesity rate of 52.7%, smoking rate of 26.3% (male 60.1%), excessive drinking rate of 22.7%, taste salty rate of 15.8%. The prevalence rates of hypertension, hyperlipidemia, coronary heart disease, stroke and diabetes were 35.4%, 2.6%, 2.4%, 1.4% and 1.3% respectively. Conclusions 46.6% of the residents over the age of 35 in Jiangyin City are suffering from various chronic diseases. The main diseases are hypertension, cardiovascular and cerebrovascular diseases, diabetes, stomach and duodenal diseases, chronic respiratory diseases and malignant tumors. The total prevalence of hypertension, coronary heart disease, stroke, diabetes, or cancer in older people over 60 years is 72.5%. The main behavioral risk factors associated with chronic diseases are smoking, excessive drinking, obesity, overweight, lack of physical activity, savory tastes and more. Advocating a healthy and scientific way of life, and effectively strengthen intervention in chronic diseases, is to reduce the incidence of chronic diseases in Jiangyin City, the top priority.