关键词: 髋关节, 黄河滩区, 患病率, 影响因素分析

Abstract: Objective　To investigate the prevalence of hip joint disease and its associated factors in Yellow River beach areas in Henan province，providing a basis for prevention and treatment of this disease.Methods　We conducted this survey from May to June 2016.The enrolled participants were 374 701 permanent residents in Taiqian county，Henan province attending general hip joint disease screening.The suspected hip joint disease cases found by physical examination were diagnosed by following imaging examination.Those were diagnosed with hip joint disease in the past，were assigned to the case group，and sex-，age- and number-matched residents without hip joint disease who lived adjacent to the place of hip joint disease cases were assigned to the control group.We used a self-designed questionnaire to collect their data such as demographic characteristics，smoking habit，drinking habit，hormone treatment status，medical history and family history of hip joint disease.Results　Of the participants，there were 2 587 cases of hip joint disease（including 836 newly diagnosed cases and 1 751 diagnosed in the past；1 107 males and 1 480 females），with a crude prevalence of 6.90‰；the crude prevalence of hip joint disease was 5.67‰ for males，8.24‰ for females，7.51‰ for age group of 0-14 years，4.89‰ for age group of 15-59 years，and 14.81‰ for age group of ≥60 years；the two major types of diseases were developmental dysplasia of the hip〔45.46%（1 176/2 587）〕 and femoral head necrosis 〔43.53%（1 126/2 587）〕.Multivariate Logistic regression analysis showed that total household income 〔2 500-4 999 yuan per month：OR=0.564，95%CI（0.374，0.848）；5 000-9 999 yuan per month：OR=0.688，95%CI（0.517，0.914）；≥10 000 yuan per month：OR=0.671，95%CI（0.554，0.813）〕，hormone treatment 〔OR=15.684，95%CI（8.361，29.421）〕，traumatic femoral neck fracture 〔OR=59.970，95%CI（14.679，245.012）〕 and family history of hip joint disease 〔OR=10.499，95%CI（4.491，24.539）〕 were the associated factors for the residents with hip joint disease（P<0.05）.Conclusion　The prevalence of hip joint disease in Taiqian county is high，and the two major types are developmental dysplasia of the hip and femoral head necrosis.Low total household income，hormone treatment，trauma femoral neck fracture and family history of hip joint disease are the risk factors for hip joint disease.

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