Study On The Main Health Problems And Health-related-risk Factors In Xihu District Of Nanchang City

Objective To know the main health problems and the main health problemsand the related-risk-factors in Xihu district of Nanchang, to provide a scientific basisfor making disease control measures.Methods Data about the death was collected by the census and the omissionsurvey to investigate the death-causes of the residents of Xihu district in Chiang C.L.abridged life table method and to analyse the life expectancy and the cause eliminatedlife expectancy of the residents; Data about residents was collected by the stratifiedcluster sampling. Used the neighbourhood office as layer, the community as clusterand the family as unit, three neighbourhoods were chosen by the stratified samplingand the whole residents of one community in each neighbourhood were investigatedby cluster sampling. Data was analysed by the way of the description, chi square test,t or t’ test and Logistic regression with SPSS17.0and Excel2003software.Results2631residents were investigated this time, the ratio of male and femalwas92.04:100. The two-week prevalence of chronic diseases was15.93%and theprevalence rate was22.9%. The top10diseases of the two-week prevalence were theupper respiratory infection(P=4.37%), hypertension(P=2.32%), dizziness andheadache(P=1.67%), arthropathy(P=1.06%), stomach trouble(P=0.99%), Heartdisease(P=0.99%), low back pain(P=0.68%), diabetes(P=0.57%), bonehyperplasia(P=0.61%), fatty liver (P=0.38%). The top10diseases of the prevalencewere hypertension(P=18.93%), diabetes mellitus(P=5.78%), coronarydisease(P=1.48%),hyperlipidemia(P=0.46%), the bone structure and density of thedisease(P=0.38%), Stroke(P=0.30%), stomach disease(P=0.30%), kidneydisease(P=0.11%), bronchitis (P=0.11%) and fatty liver(P=0.08%). The risk factorsrelated to the chronic diseases were as following: with family history ofhypertension(β=1.081), coronary disease(β=0.805)and diabetes mellitus(β=0.665)，lower degree of education (χ~2=109.309), irregular diet （β=-0.769）,old(χ~2=448.871/β=0.060), male(χ~2=49.159/β=0.739), introvert （β=-0.198）， BMI（t=7.230/β=0.060），more salt(χ~2=9.487/β=0.132), active or second-hand smoking（β=0.203or β=0.760/χ~2=66.057）less time for sleep every day(β=-0.150）. There were443986residents of Xihu district in2011, The crude death rate was6.02‰,male mortality6.74‰, female mortality5.26‰. The average life expency of residentsin Xihu district was78.94years old, male was77.61years old, femle was80.50yearsold. The total PYLL was15806.5years per person (10346.0for men,5460.5forwomen).People in the age of0to4years old primarily died of infectious diseases andmateranl and infant diseases. People in the age of5to29years old primarily died ofaccidental injury. People above15years old primarily died of NCD.Conclusion The main health problems of residents in Xihu district were thechronic diseases represented by hypertension. To control and manage the chronicdiseases was through the status of the health-related-risk factors of the residents inXihu District. It is significant to reduce the harm of chronic disease to reasonable diet,better living behaviors, strengthen sports.