The Research On Behavioral Lifestyles And Risk Of Chronic Diseases Among Residents In Urban Area Of Taiyuan City

Objective:By investigating the behavioral lifestyle,health status and chronic disease status of residents aged 15 years and over in an urban area of Taiyuan City,understand the health status and behavioral lifestyle characteristics of residents in Taiyuan City;establish a major chronic disease risk prediction model to clarify the residents of an urban area of Taiyuan The risk of major chronic diseases;providing a basis for intervention measures for chronic diseases based on the population's risk of disease and the behavioral and lifestyle characteristics of the population.Method:A multi-stage random sampling method was used to select residents aged 15 and above in a certain urban area of Taiyuan.The relevant data were obtained through field questionnaire surveys,on-site physical measurements and laboratory tests.Through statistical methods such as univariate analysis and multivariate logistic regression analysis,the risk factors of hypertension and diabetes were clarified,and a multivariate logistic regression model of hypertension and diabetes and its risk scoring system were established respectively.The behavior and lifestyle characteristics of residents was analyzed and the risk of major chronic diseases among the population was explored.Result:1.This study surveyed a total of 6823 residents,including 2832 males and 3991 females,with a gender ratio of 1.41;the average age was(51.15±16.56),with the maximum age being 99 years and the minimum age being 15 years.Among the residents surveyed,the total prevalence of major chronic diseases was 36.58%,and the prevalence of comorbidities of chronic diseases was 12.33%.The prevalences of the top three chronic disease were hypertension(23.19%),diabetes(11.07%),and hyperlipemia(7.56%).The self-reported prevalence of hypertension was 23.19%,the number of newly discovered patients was 635,and the actual prevalence of hypertension was 32.49%.The self-reported rate prevalence of diabetes was 11.07%,the number of newly discovered patients was 630,and the actual incidence of diabetes The prevalence was 20.30%.2.Risk factors for hypertension: multivariate logistic regression analysis results:age 35-54 years(OR=2.160),age 55-74 years(OR=3.529),age?75 years(OR=6.496),gender(OR=1.416),separation / divorce / widowed(OR=1.414),family history of hypertension(OR=1.940),salt intake(OR=1.291),central obesity(OR=1.237),overweight(OR=1.469),Obesity(OR=1.915),dyslipidemia(OR=1.409),diabetes(OR=1.468);risk factors for diabetes: multivariate logistic regression analysis results:age 55-74 years(OR=3.415),age?75 years(OR=3.779),family history of diabetes(OR=3.804),oil intake(OR=1.156),insufficient intake of vegetables and fruits(OR=1.445),excessive intake of dairy products(OR=1.535),central type Obesity(OR=1.586),dyslipidemia(OR=1.668),and hypertension(OR=1.545).3.Hypertension and diabetes scoring system and risk stratification: risk scoring results: In the hypertension risk scoring system,the highest score is 9 points,the lowest score is 1 point,and the total score is 0-25 points.Among them are 35-54 years old(4 points),55-74 years old(6 points),?75 years old(9 points),male(2 points),separated/divorced /widowed(2 points),family history of hypertension(3 points),salt intake(1 point),central obesity(1 point),overweight(2 points),obesity(3 points),dyslipidemia(2 points),diabetes(2 points);In the diabetes risk scoring system,the highest score is 9 points,the lowest score is 1 point,and the total score is 0 to 35 points.Among them are 55-74 years old(8 points),?75 years old(9 points),family history of diabetes(9 points),oil intake(1 point),insufficient vegetable and fruit intake(3 points),dairy products Excessive entry(3 points),central obesity(3 points), hypertension(3 points),dyslipidemia(4 points).Risk stratification results: the risk score of hypertension is in the low-risk group when the risk score is in the range of0-7,the actual incidence of hypertension is 4.19%;the risk score is in the intermediate-risk group when the risk score is in the range of 8-10.The actual probability of onset is 15.32%;the risk score is in the high-risk group when the risk score is in the range of 11-25,and the actual incidence of hypertension is 31.88%.The risk score of diabetes is in the low-risk group when the risk score is in the range of 0-7,and the actual incidence of diabetes is 4.54%;the risk score of diabetes is in the intermediate-risk group when the risk score is in the range of 8-13,and the actual probability of diabetes is 15.43%;The score was in the high-risk group when the score was in the range of 14-35,and the actual incidence of diabetes was 31.03%.According to the trend chi-square test,as the risk level increases,the actual prevalence of hypertension and diabetes also increases.4.The smoking rate of residents in a certain urban area was 17.73%,the passive smoking rate was 29.25%,the drinking rate was 23.45%,the insufficient physical activity rate was 32.39%,the insufficient intake rate of vegetables and fruits was14.69%,and the excessive intake rate of fatty food was 38.84 %,The under-intake rate of dairy products was 52.47%,the over-standard rate of salt was 62.55%,and the over-standard rate of cooking oil was 38.37%.Among the self-reported hypertension patients,smoking,passive smoking,alcohol consumption,inadequate physical activity,inadequate intake of vegetables and fruits,excessive intake of fatty foods,inadequate intake of dairy products,and excessive salt and oil consumption are all high.25.04%,22.85%,21.88%,19.37%,25.95%,20.43%,23.07%,21.58%,23.38%respectively;Among the self-reported diabetes patients,the proportion of people who smoked,passively smoked,drinking alcohol,lack of physical activity,insufficient intake of vegetables and fruits,excessive intake of fatty foods,excessive intake of dairy products,and excessive salt and oil were 13.06%,11.42%,9.81%,8.96%,17.07%,11.10%,13.63%,10.26%,12.95%.Conclusion:1.The prevalence of chronic diseases in a certain urban area of Taiyuan City was still high.There was a significant difference in the prevalence of chronic diseases among residents with different demographic characteristics and behavioral lifestyles.2.Risk factors for hypertension include: age,gender,marital status,family history of hypertension,salt intake,central obesity,overweight and obesity,dyslipidemia,and diabetes;Risk factors for diabetes include age,family history of diabetes,oil intake,insufficient intake of vegetables and fruits,excessive intake of dairy products,central obesity,dyslipidemia,and hypertension..Age,family history,central obesity and dyslipidemia are common risk factors for hypertension and diabetes.The same risk factors have different effects and degrees of harm on hypertension and diabetes.3.The smoking rate,passive smoking rate,drinking rate,and insufficient physical activity rate of residents in an urban area of Taiyuan City were all lower than the national level.The preventive and control measures taken in this urban area to stop smoking and limit alcohol and physical activity have begun to bear fruit,but the nutrition diet The structure is still unreasonable,and residents' awareness of a reasonable diet needs to be further strengthened.4.Unhealthy behaviors and lifestyles and irrational diets are the main reasons for the high prevalence of hypertension and diabetes in the urban residents.Residents who smoke,passively smoke,drink alcohol,and have unreasonable diets are at higher risk of hypertension and diabetes than normal people.5.The chronic disease risk assessment model constructed in this paper had good discrimination ability and fitting ability.It could accurately predict the incidence of hypertension and diabetes.