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预防医学  2022, Vol. 34 Issue (10): 1043-1047    DOI: 10.19485/j.cnki.issn2096-5087.2022.10.014
  疾病控制 本期目录 | 过刊浏览 | 高级检索 |
淮安市麻风病治愈患者慢性病的影响因素分析
冯地忠1, 张兆辉2, 李孝宏1, 何伏华1, 张如意1
1.金湖县疾病预防控制中心慢性传染病防制科,江苏 金湖 211600;
2.淮安市疾病预防控制中心,江苏 淮安 223001
Factors affecting the development of chronic diseases among cured leprosy patients in Huai'an City
FENG Dizhong1, ZHANG Zhaohui2, LI Xiaohong1, HE Fuhua1, ZHANG Ruyi1
1. Department of Chronic Infectious Disease Control, Jinhu Center for Disease Control and Prevention, Jinhu, Jiangsu 211600 China;
2. Huai'an Center for Disease Control and Prevention, Huai'an, Jiangsu 223001, China
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摘要 目的 了解江苏省淮安市麻风病治愈患者慢性病患病情况,并分析影响因素,为麻风病治愈患者慢性病防制提供依据。方法 通过全国麻风防治信息管理系统选取2021年淮安市所有麻风病治愈患者为调查对象,进行面对面问卷调查和体格检查,收集人口学资料、家庭状况、麻风病诊疗情况、健康状况和慢性病患病情况等。采用多因素logistic回归模型分析麻风病治愈患者慢性病患病的影响因素。结果 共调查麻风病治愈患者708例,男女性别比为2.75∶1,年龄为(71.84±10.09)岁,畸残患者占48.45%。患慢性病225例,患病率为31.78%;其中,高血压、糖尿病、冠心病、脑卒中、血脂异常、肿瘤和慢性阻塞性肺疾病患病率分别为25.14%、4.10%、3.67%、3.67%、2.26%、2.26%和0.85%。患1种慢性病154例,占21.75%;患2种慢性病61例,占8.62%;患3种及以上慢性病10例,占1.41%。多因素logistic回归分析结果显示,劳动能力完全丧失(OR=1.484,95%CI:1.015~2.171)、主要经济来源为劳动所得(OR=0.621,95%CI:0.407~0.948)、有人照顾(OR=1.832,95%CI:1.203~2.788)和畸残(OR=1.715,95%CI:1.127~2.608)是麻风病治愈患者患慢性病的影响因素。结论 劳动能力丧失、主要依靠政府补助和他人资助、需要他人照顾和畸残的麻风病治愈患者慢性病患病风险较高。
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冯地忠
张兆辉
李孝宏
何伏华
张如意
关键词 麻风病麻风病治愈患者慢性病影响因素    
AbstractObjective To investigate the prevalence and influencing factors of chronic diseases among cured leprosy patients in Huai'an City, so as to provide insights into chronic diseases control among cured leprosy patients. Methods All cured leprosy patients in Huai'an City in 2021 were enrolled from the National Leprosy Management Information System in China. The demographic data, family status, leprosy diagnosis and treatment, health status and development of chronic diseases were collected using face-to-face questionnaire surveys and physical examinations, and the factors affecting the development of chronic diseases were identified among cured leprosy patients using a multivariable logistic regression model. Results Totally 708 cured leprosy patients were included, with a male to female ratio of 2.75︰1, and a mean age of (71.84±10.09) years. The overall prevalence of disability was 48.45%. The prevalence of chronic diseases was 31.78% among participants, and the prevalence rates of hypertension, diabetes, coronary heart disease, stroke, dyslipidemia, tumor, chronic obstructive pulmonary diseases were 25.14%, 4.10%, 3.67%, 3.67%, 2.26%, 2.26% and 0.85%, respectively. There were 154 participants with a type of chronic diseases (21.75%), 61 with two types of chronic diseases (8.62%) and 10 with 3 and more types of chronic diseases (1.41%). Multivariable logistic regression analysis identified complete loss of labor ability (OR=1.484, 95%CI: 1.015-2.171), labor income as the major economic source (OR=0.621, 95%CI: 0.407-0.948), being cared of (OR=1.832, 95%CI: 1.203-2.788) and disability (OR=1.715, 95%CI: 1.127-2.608) as factors affecting the development of chronic diseases among cured leprosy patients. Conclusions There is a high risk of chronic diseases among cured leprosy patients with loss of labor ability, with government subsidy and others' funding as the major economic source, requiring to be cared of and with disability in Huai'an City.
Key wordsleprosy    cured leprosy patient    chronic disease    influencing factors
收稿日期: 2022-06-07      出版日期: 2022-09-30
中图分类号:  R195  
通信作者: 张兆辉,E-mail:94014410@qq.com   
作者简介: 冯地忠,本科,副主任医师,主要从事慢性传染病防制工作
引用本文:   
冯地忠, 张兆辉, 李孝宏, 何伏华, 张如意. 淮安市麻风病治愈患者慢性病的影响因素分析[J]. 预防医学, 2022, 34(10): 1043-1047.
FENG Dizhong, ZHANG Zhaohui, LI Xiaohong, HE Fuhua, ZHANG Ruyi. Factors affecting the development of chronic diseases among cured leprosy patients in Huai'an City. Preventive Medicine, 2022, 34(10): 1043-1047.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2022.10.014      或      http://www.zjyfyxzz.com/CN/Y2022/V34/I10/1043
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