Analyses On Non-communicable Chronic Diseases Status And Its Influencing Factors Among Adults In Gong Zhu-ling Of Jilin Province In2012

With the developing of our national economy, our working pressure hasincreased, and our life style has changed, the disease spectrum also has changed,noninfectious chronic disease such as cardiovascular and cerebrovascular,hyperlipidemia, fatty liver, diabetes, cancer and others’ prevalence rate has risensharply. This has brought people heavy economic and mental shoulder, and reducedthe quality of our lives greatly. Numerous studies confirm the occurrence of chronicdiseases are closely related to unhealthy lifestyles, including smoking, alcohol abuse,unreasonable diet, lack of physical activity, psychological factors. WHO recommendsthe chronic diseases and their risk factors related to chronic diseases in developingcountries as a preferred choice for investigation. Therefore, to carry out apopulation-based investigations of chronic disease status and risk factors is animportant part of disease prevention and control work and a vital link of theprevention control of chronic diseases.ObjectiveThis study intends to understand chronic disease prevalence and relatedinfluencing factors of adult in Gongzhuling through a sample survey, targeted toprovide the basis for the prevention measures and strategies of land chronic disease.Methods“Questionnaire on chronic disease and risk factors survey among adults in jilinprovince” was used to investigate the18~79years of age residents (residing inGongzhuling accumulated more than6months) of1496in2012as the research object.Diagnostic criteria as follows:Hypertension diagnosed with " Chinese Hypertension Prevention Guide " as thestandard for diagnosis. Overweight and obesity diagnosed with "2000Asian adultoverweight and obesity standard " for diagnosis. Diagnosed with diabetes," the1999WHO diagnostic criteria for diabetes developed " for diagnosis. Hyperlipidemia with " Chinese adult dyslipidemia Prevention Guide " as the standard for diagnosis.Subjects taken in the morning fasting subjects5ml, blood samples without hemolysis,using automatic biochemical analyzer total cholesterol, triglycerides, blood sugar.Other chronic use of self-reported and recognized. Lifestyle behaviors using therelevant standard for confirmation.By using Epidata3.0Software for data entry and consistency checking, SPSS17.0for data analysis. Describe the prevalence of indicators and the prevalence rate ofmajor chronic diseases of Gongzhuling adult standardized by the sixth national censusdata of Jilin Province (Gongzhuling) in2010; Mean and stand deviance were used todescribe continuous variables. Rate and ratio were used to describe categorical data. Ttest or2test were used to test the differences between two groups. The single andmultivariable non-conditional logistic regression model was used for the single andmultivariate analysis.Results1.1406adults were investigated, including618males and788females, with anaverage age of47.32±12.65years old. In addition to gender; the age distribution,education level, marital status, occupation, economic status difference between urbanand rural areas was statistically significant; besides drinking, tastes, BMI level,circulatory system diseases, family history; smoking, eating habits, eating fruitfrequency, physical exercise among urban and rural areas was statistically significant.2．The prevalence of chronic disease was55.3%, standard rate was47.6%.Systematic analysis by disease of chronic diseases, the top five followed bycirculatory system diseases (20.4%), digestive system diseases (15.2%), urogenitalsystem diseases (11.0%), endocrine, nutritional and metabolic diseases (6.6%),respiratory system disease (4.6%). The analysis by disease of Gongzhuling City, theformer six chronic diseases were disc disease (13.5%), hypertension (10.8%),hyperlipidemia (9.6%), ischemic heart disease(8.4%), rheumatic arthritis (6.9%),diabetes (4.8%).3．Multivariate logistic regression analysis: age, eating habits, tastes and BMIlevels are the main factors affecting hyperlipidemia; gender, age, alcohol consumption,tastes, physical exercise, BMI levels and family history of the digestive system are theimpact of high blood pressure, a major factor; age, per capita monthly income, fruitconsumption frequency and BMI levels are a major factor in diabetes. 4. The awareness of "Low-tar cigarettes and the general hazards of cigarettesrather","total ban on smoking in public places have"，"smoking is harmful to health","Tobacco is addictive " was9.3%,71.9%,96.4%,89.7%.92.0%,92.8%ofrespondents supported non-smoking in public places and restaurants,92.9%ofrespondents support the increased tobacco control efforts by government.Conclusion1. The prevalence of chronic diseases of Gongzhuling in2012was55.3%, thestandardized rate of47.6%; which was higher than the results of the4th nationalhealth services survey, also higher than the national prevalence of chronic diseases in2008. Chronic diseases by systems analysis, the top five followed by circulatorysystem diseases, digestive diseases, urinary and reproductive system diseases,endocrine, nutritional and metabolic diseases, respiratory diseases; Chronic diseasesanalysis by disease, the top six were disc disease, blood pressure, hyperlipidemia,ischemic heart disease, rheumatic arthritis,diabetes.2. Age, eating habits, tastes and BMI levels are the main factors affecting onhyperlipidemia; gender, age, alcohol consumption, tastes, physical exercise, BMIlevels and family history of circulatory system diseases are the main factors affectingon hypertension; urban and rural, age, household income levels and drinking are thefactors on affecting disc disease; urban and rural areas, gender, age and familyhistory of circulatory system diseases affecting on factors of ischemic heart disease;age, family income level, frequency of consumption of fruits and BMI levels arefactors affecting on diabetes.3. The awareness of tobacco-related knowledge is low, but there is a higher levelof support for tobacco control. So we strongly recommend to improve the awarenessof tobacco-related knowledge by using a variety of promotional methods, foraccelerating the pace of tobacco control.