Prevalence Of Chronic Diseases And Associated Risk Factors Among Adult Population In Gongshu District

Purpose:Through a population-based investigation, we discuss the epidemic characteristics and distribution and explore the main risk factors of chronic diseases in Gongshu district. These survey data would provide a scientific basis for the determination of health intervention priority strategy, effective prevention and control of chronic diseases, the improvement of the residents’ health in Gongshu district.Methods:Using multi-stage cluster random sampling method,3177people of18and older were extracted in Gongshu district. Questionnaire investigation, medical examination and laboratory test were conducted. Using EpiData3.1to input data, Chi-square test and Logistic regression based on SPSS19.0to analyze the data.Results:1. The rough total prevalence of chronic diseases is72.68%, hypertension, diabetes, dyslipidemia, abdominal obesity, overweight, obesity is33.28%,12.54%,42.61%,46.49%,32.11%and9.99%respectively. Standardized by the urban population data from the census in2010in Zhejiang province, the standardized prevalence of chronic diseases, hypertension, diabetes, dyslipidemia, abdominal obesity, overweight, obesity is65.20%,21.63%,8.20%,39.39%,40.24%,28.74%and9.19%respectively. The prevalence of hypertension, diabetes, dyslipidemia, abdominal obesity, overweight, obesity among young people under35years-old is6.10%,2.22%,34.26%,28.27%, 21.73%,6.98%respectively. The prevalence of dyslipidemia, abdominal obesity and overweight among students is26.88%,20.43%and16.13%respectively.2. Smoking and drinking rate is20.30%and23.35%respectively, it is lower than the national level, but compared with the youth and the elderly group, the smoking and drinking rate of the middle-aged group is the highest. Amateur exercise people accounts for only55.13%, and the proportion of youth group exercise is the least. The intake of fruits and milk products are inadequate, people who eat fruits and milk products5to7days a week only account63.44%and38.18%respectively.3. The medication adherence of patients diagnosed with dyslipidemia only account for20.68%, and the determined patients of dyslipidemia through the survey who are aware of being diagnosed only account for17.25%.4. Independent risk factors for hypertension are male, the middle-aged and elderly, middle and lower educational level, family history of hypertension, mild exercise intensity, eating pickled food for5to7days per week, overweight and obesity, abdominal obesity, dyslipidemia.5. Independent risk factors for diabetes are the middle-aged and elderly, middle and lower educational level, family history of diabetes, overweight and obesity, dyslipidemia, eating nuts for5to7days per week, eating fruits less than1day per week.6. Independent risk factors for dyslipidemia are male,50years-old and above, family history of diabetes, smoking, eating milk products less than3days per week.7. Independent risk factors for abdominal obesity are male, the middle-aged and elderly, primary education and below, family history of hypertension, family history of diabetes, passive smoking. Compared with normal-weight group, gender, age, education degree, drinking, family history of hypertension are the influence factors for overweight; gender, family history of hypertension, family history of diabetes are the influence factors for obesity.Conclusion:1. Compared with Zhejiang province and other areas at home and abroad, the rough total prevalence of hypertension, diabetes, dyslipidemia, abdominal obesity, overweight, obesity, is higher in general. Future efforts need to make to strengthen prevention and control of chronic diseases, more attention need to pay on the youth under the age of35and students.2. The residents’ behavior and lifestyle needs further improvement. More attention need to pay on the improvement of youth’ exercise and the intervention of the middle-aged group’s smoking and drinking.3. Future efforts need to make to strengthen prevention and control of dyslipidemia, according to the suggestion.4. Independent risk factors for hypertension are male, the middle-aged and elderly, middle and lower educational level, family history of hypertension, family history of diabetes, overweight and obesity, abdominal obesity, dyslipidemia, eating pickled food for5to7days per week.5. Independent risk factors for diabetes are the middle-aged and elderly, middle and lower educational level, family history of diabetes, overweight and obesity, dyslipidemia, eating nuts for5to7days per week, eating fruits less than1day per week.6. Independent risk factors for dyslipidemia are male,50years-old and above, family history of diabetes, smoking, eating milk products less than3days per week.7. Independent risk factors for abdominal obesity are male, the middle-aged and elderly, primary education and below, family history of hypertension, family history of diabetes, passive smoking. Compared with normal-weight group, gender, age, education degree, drinking, family history of hypertension are the influence factors for overweight; gender, family history of hypertension, family history of diabetes are the influence factors for obesity.