| Chongqing is located in the southwest China,a subtropical monsoon humid climate,early spring temperature is not stable,long summer heat and drought,autumn rain in rain y days,less snow cloud.And Chongqing to "Hot pot" famous food culture,created a popular personality outgoing Chongqing residents.Coupled with the rapid economic development in recent years,Chongqing's gross domestic product growth rate ranked first.The unique geographical position,climate characteristics,dietary culture and the pressure of work and life brought about by the economic development have led to serious physiological and mental health problems among the adult residents in Chongqing.Our hospital health management division conducted a single center study on the health of about 300000 people in Chongqing during the past 2010-2014 years.The results showed that the health status of the people in Chongqing was not optimistic,and 81.9% of the population had health problems.Among them,the detection rate of abnormal indicators of high intellectuals is more than 3 times that of ordinary citizens.Through psychological examination,it is found that more than 70% of the people in Chongqing have mental sub-health,and white-collar workers are the main population of sub mental health.So far,there have been no big data reports on public health in Chongqing.The health status of residents in Chongqing on large data center,the investigation and analysis of main factors affecting the health of Chongqing residents,interventions,establishment of health database of adult residents in Chongqing is imperative.This study used stratified random cluster sampling survey method of multi center survey data,and the health examination items,the standardization of the international general symptom checklist 90 from the physiological and psychological aspects of the questionnaire survey,the health status of residents into the city of Chongqing,in order to to get the most comprehensive,research results have statistical significance,provide the basis for the Chongqing area related functional departments to develop health management policies,preventive health care and disease treatment,provide reference for student service system for the rational allocation of health resources,the establishment of effective health.This study has three parts.The first part is to complet the adult physical,psychological,physical examination and questionnaire survey.The second part is to establish health database.The third part is the statistical analysis of the data.Results:1.Physical examination results of 1.122642 adult residents in Chongqing showed only 4476 cases,and no significant abnormality was found in the physic al examination of the physical examination personnel,accounting for only 3.65% of the total number.The adult residents in Chongqing city in 2016 of common diseases ranked the top ten were: dyslipidemia(52.59%),breast hyperplasia(50.96%),fatty liver(32.74%),lumbar degeneration(30.23%),cervical degeneration(29.90%),H.pylori infection(28.11%),overweight / obesity(25.75%),prostatic hyperplasia(25.71%),cervical gland cyst(23.20%),hypertension(18.96%).2010-2016 common disease detection rate comparison of dyslipidemia,cervical spondylosis has increased year by year,and overweight / obesity,hypertension,hyperuricemia,high blood glucose,fatty liver,osteoporosis,hyperplasia of prostate diseases since 2014 were significantly decreased.In comparison with the country and each big city,dyslipidemia,fatty liver,overweight / obesity,hypertension,high blood glucose detection rate higher than the national level,and hyperuricemia,breast hyperplasia,prostatic hyperplasia detection rate is lower than the national level.2.SCL-90 positive screening test showed that the positive rate of total score was 2 8.32% in 19416 persons.The factor scores of positive detection rate from high to low order were obsessive-compulsive symptoms(37.21%),interpersonal sensitivity,paranoid(27.81%)(25.22%),hostile(23.73%)and depression(21.51%),anxiety(19.04%),(17.92%)somatization and psychosis(15.95%)and terror(7.79%).The scores of all factors were higher than the national norm.The scores of all factors were higher than those of Shanghai residents.3.Men in the top ten diseases were: dyslipidemia(61.50%),fatty liver(45.88%),overweight / obesity(33.12%),lumbar degeneration(33.06%),cervical degeneration(31.94%),H.pylori infection(30.95%),benign prostatic hyperplasia(25.71%),hyperuricemia(22.10%),hypertension(21.86%),chronic bronchitis(14.75%).Women in the top ten diseases were breast hyperplasia(50.96%),dyslipidemia(42.84%),lumbar degeneration(35.38%),H.pylori infection(32.84%),cervical degeneration(27.70%),osteoporosis(27.56%),cervical gland cyst(23.20%),fatty liver(19.03%)overweight / obesity(17.80%),hysteromyoma(17.42%).The prevalence of dyslipidemia,fatty liver,overweight / obesity,hyperuricemia,hypertension,hyperglycemia and lung markings in women is significantly higher than that in females,and the detection rate of osteoporosis in women is 3.6 times higher than in males.The result of psychological examination showed that the scores of female scores,somatization,obsessive-compulsive symptoms,depression and anxiety were higher than those of males.4.The detection rate of fatty liver,Helicobacter pylori infection,gallbladder polyp and hyperplasia of mammary glands is the highest among the 18~24 year olds;The detection rate of hyperuricemia was the highest in the 25~34 year olds;35 ~ 44 year olds of overweight / obesity,lumbar degeneration,cervical degeneration,cervical gland cyst,myoma of uterus and the highest detection rate,fatty liver,Helicobacter pylori infection,breast hyperplasia and other diseases detection rate is very high;The detection rate of dyslipidemia was the highest in the 45~54 year olds;The detection rate of hypertension,hyperglycemia,liver cyst and lung texture increased in the 55~64 year olds;People aged 65 years or over in the highest detection rate of osteoporosis,chronic bronchitis and hyperplasia of prostate.The results of psychological evaluation showed that the scores of total score and factor scores were the highest among the 18~24 year olds;With the increase of age,total score and each factor score decreased from 55 to 64 year olds score and each factor score was the lowest score and each factor score,more than 65 year old population has increased.5.Physical examination results of different occupational groups showed that the detection rates of overweight / obesity,hyperglycemia,chronic bronchitis,cervical degeneration and lumbar degeneration were the highest.Except for the highest rate of mammary gland hyperplasia,the detection rate of common diseases in the rest of the medical staff was at a low level.According to the psychological evaluation scores from high to low ranking were occupation medical personnel,police,soldiers,workers,civil servants,teachers,and staff of the factor scores were the highest,while teachers except obsessive-compulsive symptoms and anxiety and the rest of the index scores were the lowest.6.According to the survey of common diseases in different regions,the dietary cu lture and lifestyle are different,and the disease spectrum is different.The prevalence rate of breast hyperplasia is the highest in Yuzhong,and the detection rate of overweight / obesity is the lowest.The economic development of Yongchuan district and Fuling district was rapid,while metabolic diseases were high.The detection rate of dyslipidemia and hyperuricemia in Yongchuan district was the highest,and the detection rate of fatty liver,hypertension and overweight / obesity in Fuling district was the highest."Transformation and development" Dadukou District,people's health has also improved,the detection of fatty liver,hypertension and hyperuricemia rate were the lowest.7.In the psychological examination,the scores of total score and other fa ctors in the unmarried group were higher than those in the married and divorced groups;Different educational groups showed the trend of lower scores of each factor with the increase of educational background;with the increase of economic income,the lowe r the score of each factor.8.Analysis of statistical results of Chongqing residents' health risk self test questionnaire: The smoking rate of adults in Chongqing was 24.62%,and the rate of second-hand smoke exposure was 73.05%;Adult drinking rate was 51.32%,the amount of alcohol per drink was only 10.50% of 50 g,and the wine was only 9.55% per 250 ml,and less than 1 bottles of beer,accounting for 24.83%.Eating salty snack habits have accounted for 38.36%,up to 66.06%,and because the healthy eating habits changing accounted for only 0.41%.Sedentary lifestyle accounted for 52.63%,longer than 7 hours Physical exercise a week for 9.53%.9.A survey of happiness among adults in Chongqing found that 35.38% felt happy and 23.18% felt unhappy.The main factors affecting the residents' happiness is among the top ten: not used to eating(30.27%),raising children(28.67%),the family environment is not satisfactory(25.56%),(24.53%),lack of job dissatisfaction friends feel lonely(24.31%),disease(22.49%),family disharmony(21.64%),pension problem(20.77%),economic income is less than(18.04%),children's education(10.49%).Conclusions:1.The majority of adult residents in Chongqing are in subhealth state,and their mental health is lower than the national average,and is lower than that of Shanghai residents.2.Among adult residents in Chongqing before the ten common diseases are: dyslipidemia,fatty liver,breast hyperplasia,lumbar degeneration,degeneration of cervical vertebra,Helicobacter pylori infection,overweight / obesity,prostate hyperplasia,cervical gland cyst,hypertension.And overweight / obesity,hypertension,hyperuricemia,hyperglycemia,fatty liver,osteoporosis,prostatic hyperplasia,many diseases since 2014 have obvious downward trend.However,dyslipidemia and cervical and lumbar diseases still show an upward trend year by year.3.Chongqing city residents of adult mental health SCL-90 evaluation results,total positive rate was 28.32%,the factors of positive rate from high to low order were obsessive-compulsive symptoms,interpersonal sensitivity,hostility,depression,anxiety,somatization and psychosis,terror.4.The rate of disease detection in different sexes is different,and the incidence of metabolic diseases is high among men,while women have high incidence of female reproductive system diseases and skeletal diseases.In the aspect of mental health,the female mental health level is lower than that of male.5.The physiological health condition of the 35~44 year olds is the worst,and the detection rate of many common diseases is at a high level.The mental health problems of the 18 ~ 24 year olds are more Serious.6.The physical health condition of the medical staff is better,but the mental health condition is the most serious.7.The smoking rate and drinking rate of adult residents in Chongqing were higher than those in the whole country and other cities.The salty taste,more than half of the residents have a habit,and a sedentary lifestyle,exercise less.8.The main factors affecting the residents' happiness is to eating habits,to take care of children,family environment is not satisfactory,job dissatisfaction,lack of friends feel lonely,illness,family disharmony,pension problems,economic income,dis satisfaction with the child's education. |
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