中国全科医学 ›› 2018, Vol. 21 ›› Issue (13): 1603-1607.DOI: 10.3969/j.issn.1007-9572.2018.00.090

• 专题研究 • 上一篇    下一篇

不同性别农村居民慢性病患病率及影响因素调查研究

何利平,李晓梅*,喻箴,陈莹,朱凤鸣,孙承欢   

  1. 650500 云南省昆明市,昆明医科大学公共卫生学院流行病与卫生统计学系
    *通信作者:李晓梅,教授;E-mail:lxmei2004@126.com
  • 出版日期:2018-05-05 发布日期:2018-05-05
  • 基金资助:
    国家自然科学基金资助项目(81160364)

Sex-specific Prevalence Rate and Influencing Factors of Chronic Diseases in Rural Areas of Yunnan's Zhaotong

  1. Department of Epidemiology and Health Statistics,School of Public Health,Kunming Medical University,Kunming 650500,China
    *Corresponding author:LI Xiao-mei,Professor;E-mail:lxmei2004@126.com
  • Published:2018-05-05 Online:2018-05-05

摘要: 目的 比较昭通地区不同性别农村居民慢性病患病的影响因素,为不同性别农村居民慢性病防治措施的制定提供参考。方法 于2013年7—11月,在昭通地区采用分层随机整群抽样法在昭通地区抽取农村居民并进行入户面对面问卷调查。调查内容包括家庭基本情况(家庭人口数、经济状况、家庭收入、家庭支出、家庭成员收入)、人口学特征指标(性别、年龄、民族、职业、文化程度、婚姻状况)、慢性病患病情况。结果 共发放问卷3 700份,回收3 700份,有效问卷3 697份,有效回收率为99.92%。调查对象慢性病患病率为12.7%。男性慢性病标化患病率为12.1%,低于女性的16.1%,差异有统计学意义(χ2=45.220,P<0.001)。多因素Logistic回归分析结果显示,低收入、高龄、职业为农民或无职业、婚姻状况为在婚或离婚及丧偶和较少的家庭人口数是男性慢性病患病的危险因素(P<0.05);低收入、高龄、较低的文化程度、少数民族、职业为农民或无职业、婚姻状况为离婚及丧偶和较少的家庭人口数是女性慢性病患病的危险因素(P<0.05)。结论 应关注高龄,低收入,职业为农民和无职业,离婚及丧偶者的慢性病患病情况。女性,特别是少数民族和文化程度低的女性应给予更多关注。

关键词: 慢性病, 农村人口, 性别, 影响因素分析

Abstract: Objective To investigate the factors associated with sex-specific prevalence rate of chronic diseases in rural areas of Yunan's Zhaotong,providing a reference for formulating targeted measures for such populations in China.Methods This study conducted between July and November 2013,using stratified and random cluster sampling,we sampled the participants and collected their following data via a home-based face-to-face questionnaire survey:basic family information(family size,economic status,monthly household income,monthly household expenditure,monthly income of each family members),demographic characteristics(sex,age,nation,occupation,education level,marital status),and prevalence of chronic diseases.Results Of the 3 700 questionnaires administered,3 697 responsive ones were returned with a response rate of 99.92%.The overall prevalence rate of chronic diseases was 12.7%.Males demonstrated lower standardized prevalence rate of chronic diseases compared with females(12.1% vs 16.1%)(χ2=45.220,P<0.001).Multivariate Logistic regression analysis showed that the risk factors of chronic diseases for males included low income,older age,farmer or unemployed,married or divorced or widowed,small number of family members(P<0.05),whereas for females,they were low income,older age,low education level,minority,farmer or unemployed,divorced or widowed,small number of family members
(P<0.05).Conclusion Attention should be paid to rural residents who are older,farmers or unemployed,divorced or widowed and had low income.Females,especially minority and those with low education level should be intensely focused.

Key words: Chronic diseases, Rural population, Sex, Root cause analysis