| Objective:To understand the epidemic situation of chronic disease and the related risk factors in Tianxin district of Changsha City; to provide a scientific proof for determining the priority areas of disease prevention and control and developing chronic disease prevention and control strategies; and to provide information for the evaluation of national health and related policies and the effect of chronic disease prevention and control project. By chronic disease surveillance, the capability and quality of technical personnel who are in charge of chronic disease prevention and control should be further improved.Methods:Residents aged more than18years old were randomly selected by multi-stage sampling. Data was collected through questionnaires, physical measurements and laboratory examination. Original data was inputted into EpiData3.0by double-inputted method after being reviewed by investigators and quality control personnel. And to collate, check, double-check data integrity, accuracy, fill missing, omissions, the duplicate to be deleted, and the error to be corrected. SPSS18.0software package was used to analysis the data. The x’test was used for univariate analysis, and the non-return conditions logistic regression was used for multivariate analysis.Results:1. This study investigated a total of1200residents aged more than18years old in Tianxin district. Among them the youngest is18years old, the oldest is86years old; the average age was45.44±14.59years old;56.2%of them were from primary and high school. Occupational distribution of scattered; marital status to married dominated (77.5%); Han dominated (99.2%).2. The prevalence of hypertension was29.4%,2.3%for male,27.2%for female; the difference was not statistically significant; hypertension in different regions, age groups, education level and occupation there were significant.The prevalence of diabetes was4.0%, men for4.2%, women for3.9%, the difference was statistically significant thing; prevalence of diabetes in different age groups, different educational level and occupational differences were statistically significance, the prevalence of diabetes drop with the level of education increases.The prevalence of dyslipidemia was10.0%, males for8.3%, females for11.3%, the difference was not statistically significant, and the prevalence of dyslipidemia in different regions, age groups, and career were statistically significance.3. The smoking prevalence is37.3%, for male:75.1%, for female:7.3%; statistically significant difference was found in different gender, age group, educational level except area difference.4. The drinking rate is48.8%, statistically significant difference was found in different gender, age group, educational level and area difference. Male’drinking rate is higher than female’s.18-is the highest (64.5%), rates of other age group were:50.5%,47.1%,48.8%,38.7%,11.1%. Drinking rate in all age groups showed a gradual downward trend.5. The survey results show the daily consumption of cereals and vegetables account for99.9%and98.1%; aquatic flat, meat, poultry, dairy products remain relatively low level respectively,63.7%,55.4%,52.2%,57.4%of residents’consumption frequency above products is less than4times monthly. 6. Only20.8%of them have participated in physical exercise habits,79.2%did not exercise. Different regions, age groups was statistically significant difference between (P<0.05), with age increased, rate in physical exercise first increased and then decreased, the highest age group of60-, the lowest age group is30-; Different gender and educational level was no significant difference between (P>0.05).7. The rate of static behavior for too long is78.3%, different age groups, educational level, occupation and regional differences were statistically significant, the static behavior for too long increases with educational level rises, and static behavior for too long rate of college education personnel is92.8%. Static behavior for too long rates in different gender difference was not statistically significant (P>0.05).8.18.8%of study population was lack of sleep. Significant difference was found among different gender, age, education level and occupation. The rate for male (23.2%) is higher than that for female (15.2%). In the age group of70to get enough sleep the highest rate of35.2%,30year-old group’s lack of sleep lowest rate of11.7%; lack of sleep increases with educational level rises. Lack of sleep among different regions the rate difference was not statistically significant.13.9%of population sleep for more than9hours. Significant difference was found among different area, age and occupation. In the age group of70, the rate is the highest rate of24.1%.The rete for inoccupation group is17.0%.9. Light weight rate of survey population accounted for4.8%,53.9%for normal weight,32.2%for overweight,9.2%obesity; overweight, obesity and central obesity rate in a different gender, age was statistically significant difference and different occupations, education level and inter-regional difference was not statistically significant; among overweight men, obesity and central obesity were higher than females; rates of overweight, obesity and central obesity increases first increased and then decreased with age increased.10. Risk factors for hypertension are gender, age, smoking, central obesity, BMI≥24.0, lower education level and family history of hypertension; drinking, lack of sleep, dyslipidemia and family history of diabetes are risk factors of diabetes; marital status, central obesity and BMI≥28.0are risk factors of dyslipidemia.Conclusions:1. The hypertension prevalence of18-year-old and above (29.4%) was higher than the national average in Tianxin district of Changsha city. Diabetes (4.0%) and Dyslipidemia prevalence (10.0%) is lower than the average level in the country.2. Risk factors for chronic diseases, such as physical inactivity, the static behavior for too long, overweight, obesity had been existing widely in adult residents of Tianxin district, higher prevalence of smoking and drinking were observed in the male.3. According to the survey results, male aged above40years old, weigh more than normal, central obesity, should be treated as high risk groups. |
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