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目的对农村地区的中老年人慢性病发生率进行调查与分析。方法在对调查人员培训后,使用《慢性病及其危险因素监测调查》表,对年龄≥45岁居民的慢性病患病情况进行入户调查。采用Epi Data3.0软件建立数据库,全部数据进行双录入核查,用SPSS 16.0软件进行统计学分析,采用百分率进行资料描述,计数资料的比较采用χ2检验;危险因素采用单因素和多因素logistic回归分析方法,P<0.05表示差异有统计学意义。结果 (1)总的慢性病患病率31.36%,男30.90%,女31.72%,男女患病率比较差异无统计学意义(P>0.05)。前三位的慢性病是均是高血压、糖尿病、慢性阻塞性肺疾病。(2)年龄与患慢性病呈弱相关(R=0.229,P=0.000),年龄与患慢性病种数也呈弱相关(R=0.240,P=0.000),不同年龄组之间慢性病患病率差异有统计学意义(χ2=63.880,P=0.000)。(3)多因素非条件逐步Logistic回归显示性别、年龄、婚姻状况、文化程度、收入、工作类型、慢性病家族史与是否慢性病患病显著相关。结论慢性病的防治工作应有所侧重,重点关注处于单身或分居、丧偶的婚姻状态、文化程度、收入低、有慢性病家族史的中老年人,开展健康教育宣传,主动上门为中老年人提供慢性病检查,指导健康生活方式,以慢性病防控效果。
Objective To investigate and analyze the incidence of chronic diseases in middle-aged and elderly people in rural areas. Methods After the training of investigators, we use the “Surveillance Survey of Chronic Diseases and Its Risk Factors” to make a survey on the prevalence of chronic diseases among residents aged 45 and over. Epi Data3.0 software was used to establish the database. All the data were double-checked. SPSS 16.0 software was used for statistical analysis. The percentage was used to describe the data. Chi-square test was used to compare the count data. Univariate and multivariate logistic regression analysis Method, P <0.05 means the difference was statistically significant. Results (1) The prevalence rate of total chronic diseases was 31.36%, male 30.90%, female 31.72%, there was no significant difference between male and female prevalence (P> 0.05). The top three chronic diseases are all high blood pressure, diabetes, chronic obstructive pulmonary disease. (2) There was a weak correlation between age and chronic diseases (R = 0.229, P = 0.000). There was also a weak correlation between age and the number of chronic diseases (R = 0.240, P = 0.000). The prevalence of chronic diseases among different age groups There was statistical significance (χ2 = 63.880, P = 0.000). (3) Multivariate stepwise logistic regression showed that gender, age, marital status, educational level, income, work type, family history of chronic diseases were significantly related to whether or not chronic diseases were related. Conclusion The prevention and treatment of chronic diseases should be focused on, focusing on single or separated, widowed marital status, education, low income, family history of chronic diseases in the elderly, to carry out health education, take the initiative to provide the elderly with chronic diseases Check, guide a healthy lifestyle, with chronic disease prevention and control effects.