| ObjectiveTo understand all the work which was taken during establishment of the National Chronic Noncommunicable Diseases Prevention and Control Comprehensive Demonstration Area in Chaoyang District in Beijing,and evaluate the prevention and control effect after establishing the area in order to master the advantages and disadvantages in prevention and control works and provide evidence for the further Chronic Diseases prevention and control.MethodsThere were 7300 and 6472 adult residents aged above 18 years old who were selected in 2011 and 2014 respectively,and multistage stratified sampling was used.We used the manner of concentrated and in-door investigation to obtain information which included questionnaire and body measurement and compare the differences of the major targets in year 2011 and 2014 Chronic Diseases monitoring.The data entry was made by Epidata 3.1 and the SPSS21.0 was used to analysis the data.Independence sampling t-test was used to compare the measurement data and Chi-square testing was used to compare the different rates.Results1 Total 6917 adults aged above 18 years old were surveyed in 2011.And the males were 2665,accounting for 38.5%;the females was 4252,accounting for 61.5%.In 2014,there were 6472 adult residents aged above 18 years old in the survey and the male and the female was 2537 and 3935 respectively.2 The rate of current smoking,often smoking,heavy smoking and passive smoking was 19.6%,17.0%,6.3% and 33.7% respectively.And in 2014 the prevalence of that was 15.7%,14.9%,5.6% and 22.0% respectively.Comparing with the rate of 2011,the rates in 2014 were all decreased(?~2=65.926,19.477,5.613,423.410,P<0.05).The prevalence of smoking cessation increased from 10.3% in 2011 to 12.1% in 2014(?~2=4.092,P<0.05).The variation tendency of smoking rate in the male was same with the whole population.3 The drinking rate of adults above 18 years old in 2011 was 31.0%,which was higher than that in 2014(18.5%).In 2011,the excessive drinking rate decreased from 16.3% in 2011 to 8.6% in 2014.Comparing with the rate of drinking and excessive drinking in 2011(54.8% and 32.2%),both drinking rate(34.6%)and excessive drinking rate(17.7%)decreased(P<0.05).The female had the same variation tendency with the total population.4 The physical exercise rate of the total population,the male and the female above 18 years old in 2011 was 41.5%,52.3% and 44.5% respectively,and that was lower than that in 2014(P < 0.05).The rates were 70.3%,67.1% and 72.5% respectively in 2014.The effective rate of physical exercise in total population increased from 30.9% in 2011 to 45.2% in 2014(P<0.05).The effective rate of the men and women both increased.5 The prevalence of overweight,obesity and central obesity increased from 38.2%,18.2% and 52.4% to 39.0%,19.7% and 62.1%,respectively(P<0.05).6 The prevalence of diabetes,hypertension and dyslipidemia in 2011 was 10.8%,35.0% and 49.3%,respectively,and the prevalence in 2014 was 14.9%,37.2% and 41.7%,respectively.Comparing with the prevalence in 2011,the prevalence of diabetes and hypertension was higher(?~2=18.391,11.804,P<0.05).But that in dyslipidemia was lower(?~2=130.907,P<0.05).Conclusion1 The National Chronic Noncommunicable Diseases Demonstration Areas was effective to prevent and control chronic diseases.2 After establishing the Demonstration Areas,the risk factors of chronic diseases were improved: the prevalence of current smoking,often smoking,heavy smoking and passive smoking decreased and the rate of quit smoking increased;the rate of drinking and excessive drinking decreased;and the rate of physical activity and effective physical activity increased.3 Weight control were improved in adults: the prevalence of overweight remained stable and rate of obesity slightly increased.The growth rate decreased.4 After establishing the Demonstration Areas,the awareness rate of dyslipidemia and hypertension increased.The self-reported prevalence of diabetes also increased and the growth rate of hypertension decreased.5 After establishing the Demonstration Areas,the prevalence of dyslipidemia and hypertension of urban population decreased and the prevalence of diabetes remained stable.Rural population and low age group were the priprity prevention and control group in the future. |
PDF Full Text Request