| Objectives1. Find out the stroke and other chronic diseases condition of community population in Jinan, Shandong Province;2. Explore the demographic characteristics of stroke community population in Jinan, as well as the relationship between stroke and high blood pressure, diabetes, dyslipidemia, and other risk factors;3. Analysis the epidemiological characteristics of stroke and other chronic diseases in Jinan, and provide guidance for future prevention;4. As an opportunity to further study the epidemiology of stroke-related etiology, lay the foundation for stroke intervention factors smoothly in the future.5. Explore community stroke and other chronic diseases and risk factors in the population distribution affect grading, discover knowledge about the prevention and control of chronic mass awareness, risk factors hierarchical management, and tertiary prevention of stroke. MethodsChoose two points five communities in Jinan, for people aged ≥40 conduct stroke and associated risk factors screening and intervention. Using cluster multi-stage random sampling method to ensure that more than 90% of the resident population ≥40 years of age can be incorporated.(1) survey questionnaire is divided into the registration form, from residents’ health records and street / rural household registration office to obtain basic information about the resident population;(2) stroke in high-risk populations to assess the risk profile screening, community health stations in the city / village clinics or temporary room to carry out site surveys risk factors for stroke screening assessment of stroke in high-risk groups to get the assessment;(3) risk of stroke and stroke recurrence risk screening table. Conducted according to specific criteria for its quantitative assessment of risk factors for stroke, according to the study of stroke evaluation criteria are divided into low-risk, medium risk and high risk category 3. High-risk groups in accordance with the individual cases, to carry out the relevant checks selectivity, the main contents include: carotid auscultation, laboratory tests, carotid ultrasound examination. From the low-risk and moderate-risk populations of small random sample subjected to the same questionnaire and laboratory tests.The questionnaire collected data have been collated and logical proof, using Epi Info3.5.1 software entry, using SPSS15.0 statistical software for data collection and analysis. Results1.The actual amount of the sample population included in the survey and intervention to establish a complete archive of 46,286 cases, of which Jinan City National Community Health Center 9932 cases, 5953 cases of Jiyang streets run community health service centers, 10,248 cases of Liu Town hospitals, community health Wendong Service Center 10,013 cases, community health centers Zaoyuan 10,140 cases.2.In the survey, aged 40-49 years accounted for 31.34%, 50-59 years of age accounted for 30.5%, 21.4% were 60-69 years old, 70-79 years old accounted for 12.66%, 80-89 years of age accounted for 3.83%, accounted for more than 90 years 0.27%. Survey sample population mainly between 40-69 years of age, accounting for 83.24%. Han 45,170 people, accounting for 97.59%; 792 marital status of unmarried people, married 43 083 people, 2288 people widowed, divorced 85 people, education in junior high school and below accounted for 68.12%, less educated, and nearly half are Investigators for the farmers.3.The survey, basic medical insurance for urban workers, 15,060 people, accounting for 32.54%; new basic medical insurance for urban residents 784 people, accounting for 1.69%; NCMS 25,517 people, accounting for 55.13%; poor rescue five people, accounting for 0.01 %; 21 commercial medical insurance, accounting for 0.05, all at public expense 3907, accounting for 8.44%, all at their own expense 894 people, accounting for 1.93%, other social insurance 31 people, accounting for 0.07 percent; the other 67 people, accounting for 0.14%. Where basic medical insurance and new rural cooperative medical care is the main form of health care, accounting for 87.67%.4. All 46,286 cases enrolled population, after the baseline survey, found that 7964 cases of stroke risk populations, screening out dangerous crowd was 17.21%. 3730 among low-risk population, accounting for 46.84%,; risk populations in 3600, accounting for 45.2%; 527 high-risk people, accounting for 6.61%; 107 people are suffering from stroke, accounting for 1.35%. Were surveyed in stroke prevalence of 2.48%, which accounted for 91.84% of ischemic stroke, hemorrhagic stroke accounted for 6.91%, 1.25% mixed stroke.5.Jinan five community prevalence of stroke compared to the prevalence of community health service centers Zaoyuan highest national community health centers Jinan lowest prevalence, prevalence differences between communities statistically significant(χ2 = 161.07, P <0.001). Class 3 community prevalence of stroke significantly different, Jinan City, the prevalence of stroke has a characteristic suburbs> Rural> cities. Male stroke prevalence rate of 2.96%, 2.06% prevalence of stroke in women, the prevalence of risk for men and women by χ2 test showed a significant difference(χ2 = 38.188, P <0.001), OR = 1.45, men suffering from stroke is 1.45 times higher than women.6.The prevalence of stroke in male smokers 3.75%, prevalence of stroke in male nonsmokers 2.59% by χ2 test showed that the prevalence of male smoking or not significantly different(χ2 = 21.587, P <0.001), OR = 1.45, the risk of stroke in male smokers was 1.46 times that of non-smokers. Female smokers 2.79% prevalence of stroke, stroke prevalence of female non-smokers to 2.05%, the χ2 test found that women Smoking prevalence did not differ significantly(χ2 = 1.446, P = 0.229). Therefore, smoking is an independent risk factor for stroke in men suffering.7.Jinan sample population complained prevalence of hypertension was 24.85%, higher than the 2002 China National Nutrition and Health Survey of 18.80 percent nationwide prevalence of hypertension.8.Surveyed population prevalence of high cholesterol readme 8.19%. Through the pre-survey found that the situation for their own degree of awareness lipids community is much lower than for stroke, hypertension and diabetes are aware of the situation, there are 23.59% of respondents did not know their lipid profile. Conclusion1.Jinan stroke prevalence(2.48%) higher than the standardized prevalence of stroke(1.82%), the risk of a rate of 17.21% population screening, the incidence of hypertension among the risk factors for stroke in the first place, other hazards factors were high blood cholesterol, diabetes, male sex, lack of exercise, and family history of stroke. Therefore, prevention of stroke should focus on prevention of hypertension and high cholesterol.2.Jinan health care services to the urban basic medical insurance and new rural cooperative medical care based, supplemented by other health insurance.3.The prevalence of hypertension in women(25.72%) than men(23.85%), with the national survey data opposite.4.The low level of education of its population higher prevalence of hypertension, the possible reasons for the low level of education were less self-health awareness.5.Finding high cholesterol and diabetes relevant. Engaged in mental and management and has a high level of education high cholesterol and diabetes prevalence is higher than manual workers and less educated people. |
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