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预防医学  2017, Vol. 29 Issue (3): 217-220,225    DOI: 10.19485/j.cnki.issn1007-0931.2017.03.001
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浙江省社区健康管理老年人慢性病患病现况研究
赵艳荣,邱银伟,杨清,叶驰宇,汪炜,徐校平
浙江省疾病预防控制中心,浙江杭州310051
A study on the prevalence of chronic diseases and risk factors control among the elderly of community health management in Zhejiang Province
ZHAO Yan-rong,QIU Yin-wei,YANG Qing,YE Chi-yu,WANG wei,XU Xiao-ping
The Center for Disease Control and Prevention of Zhejiang Province,Hangzhou,Zhejiang,310051,China
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摘要 目的 了解浙江省接受社区健康管理的老年人慢性病患病现状。方法 采用多阶段分层抽样方法在浙江省选取8个县(市、区)接受社区卫生服务中心健康管理、年龄≥60岁的城镇常住居民1 215人,收集2015年健康体检关键信息,分析慢性病患病情况和相关指标检测结果。结果 1 215名老年人中,常见慢性病自报患病率为84.36%,其中高血压、白内障和糖尿病自报患病率较高,分别为60.66%、21.32%和20.58%。75岁~组老年人的高血压、白内障、冠心病和脑血管病患病率均高于60岁~组。男性老年人的脑血管病和慢性阻塞性肺病患病率均高于女性,类风湿关节炎患病率低于女性。中心性肥胖患病率为54.75%,其中女性为59.00%,高于男性的48.47%(P<0.01);总胆固醇(TC)正常、边缘升高及异常分别为66.75%、23.95%和9.30%;三酰甘油(TG)正常、边缘升高及异常分别为65.73%、17.05%和17.22%;女性的TC和TG正常比例均为61.94%分别低于男性的74.07%和71.52%(P<0.05)。高血压患者血压控制率为64.04%,糖尿病患者血糖控制率为60.00%。结论 浙江省接受社区健康管理的老年人慢性病患病率与全省老年人总体情况相近;血压、血糖控制率高于全省水平;应加强对老年女性人群中心性肥胖和血脂水平的干预。
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徐校平
关键词 老年人社区健康管理慢性病    
AbstractObjective To learn the prevalence of chronic diseases and risk factors control among the elderly of community health management in Zhejiang Province.Methods The elderly residents over 60 years of urban areas in Zhejiang Province were investigated through multi-stage stratified sampling,and key health examination information in year 2015 of respondents was collected.The prevalence of chronic diseases and risk factors control were analyzed among the respondents who had accepted community elderly health management.Results Among 1 215 elderly who accepted community health management,self-reported prevalence rate of common chronic diseases was 84.36%,with hypertension 60.66%,cataract 21.32% and diabetes 20.58%.The control rates of hypertension and diabetes were 64.04% and 60.00%,respectively.The proportions of light weight,normal weight,overweight and obesity were 3.51%,50.04%,35.51% and 10.94% respectively.The prevalence rate of central obesity was 54.75%,female (59.00%) higher than male (48.47%) (P<0.001).The proportions of normal,borderline high and abnormal total cholesterol (TC) were 66.75%,23.95% and 9.30% respectively.The proportions of normal,borderline high and abnormal triglyceride (TG) were 65.73%,17.05% and 17.22% respectively.The proportions of normal TC and TG were both lower in female (both 61.94%) than those in male (TC:74.07%、TG:71.52%) (P<0.05).The prevalence rates of hypertension(OR=1.41,95% CI:1.11-1.79),cataract(OR=2.19,95%CI:1.65-2.91),coronary heart disease (OR=1.59,95%CI:1.14-2.21)and cerebrovascular disease (OR=2.06,95%CI:1.29-3.30)were significantly increased in the ≥75 years group than that in the 60-74 years group.The prevalence of cerebrovascular disease in elderly men in the age group of 60-74 (OR=1.73,95%CI:1.09-2.75) and chronic obstructive pulmonary disease (OR=2.41,95%CI:1.04-5.59)were higher than that in female,while the prevalence of rheumatoid arthritis (OR=0.54,95%CI:0.35-0.84)were lower than that in male.Conclusion Among the elderly who accepted community health management,the prevalence rate of chronic diseases is similar with the general elderly population in Zhejiang Province.Female central obesity and blood lipids control should be strengthened in the community.
Key wordsThe elderly    Health management    Chronic disease
     出版日期: 2017-11-21
中图分类号:  R195  
通信作者: 浙江省医药卫生一般研究计划(2014KYA036)   
作者简介: 赵艳荣,硕士,主管医师,主要从事基本公共卫生服务项目监测评价工作
引用本文:   
赵艳荣, 邱银伟, 杨清, 叶驰宇, 汪炜, 徐校平. 浙江省社区健康管理老年人慢性病患病现况研究[J]. 预防医学, 2017, 29(3): 217-220,225.
ZHAO Yan-rong, QIU Yin-wei, YANG Qing, YE Chi-yu, WANG wei, XU Xiao-ping. A study on the prevalence of chronic diseases and risk factors control among the elderly of community health management in Zhejiang Province. Preventive Medicine, 2017, 29(3): 217-220,225.
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