Current prevalence and influencing factors of chronic diseases among adult residents in Hunan Province
WU Tiantian1,2, ZHU E2, YU Jianying1,2, WANG Dongxin2, LUO Bang'an2, WANG Min1
1. School of Nursing, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China; 2. Hunan Brain Hospital (The Second People's Hospital of Hunan Province), Changsha, Hunan 410007, China
Abstract：Objective To investigate the prevalence and influencing factors of chronic diseases among adult residents in Hunan Province, so as to provide insights into management of chronic diseases. Methods Permanent residents at ages of 18 years and older were sampled using a multi-stage random sampling method in Hunan Province from April to June, 2021, and participants' demographics, smoking, alcohol consumption, sleep quality and development of chronic diseases were collected using questionnaire surveys. The prevalence of chronic diseases was estimated and standardized by the seventh national population census data. In addition, the factors affecting the prevalence of chronic diseases were identified using a multivariable logistic regression model. Results A total of qualified 9 469 adult residents were enrolled, including 4 678 men (49.40%) and 4 791 women (50.60%), with a mean age of (59.37±14.14) years. The overall prevalence and standardized prevalence rates of chronic diseases were 50.84% and 38.44%, respectively, and the prevalence and standardized prevalence rates of hypertension, protrusion of intervertebral disc and diabetes were 18.66% and 15.06%, 6.31% and 5.28%, and 4.44% and 4.18%, respectively. Multivariable logistic regression analysis revealed that women (OR=1.252, 95%CI: 1.131-1.386), age (45 years-, OR=3.699, 95%CI: 3.104-4.407; 60 years and older, OR=9.255, 95%CI: 7.743-11.064), unmarried/divorced/widowed (OR=1.170, 95%CI: 1.036-1.321), educational level (junior high school, OR=0.730, 95%CI: 0.653-0.816; high school/technical secondary school, OR=0.710, 95%CI: 0.609-0.827; diploma and above, OR=0.586, 95%CI: 0.454-0.758), monthly household income (3 000 yuan-, OR=0.846, 95%CI: 0.759-0.943; 6 000 yuan-, OR=0.819, 95%CI: 0.710-0.943; 10 000 yuan and higher, OR=0.790, 95%CI: 0.657-0.950), smoking (OR=1.528, 95%CI: 1.363-1.713), insomnia (OR=2.637, 95%CI: 2.271-3.063) statistically correlated with the development of chronic diseases. Conclusion The prevalence of chronic diseases was 50.84% among adult residents in Hunan Province in 2021, and hypertension was the predominant chronic disease. Women, the middle-aged and elderly residents, residents with a low educational level and residents with low incomes are at a high risk of developing chronic diseases.
伍甜甜, 朱娥, 虞建英, 王东欣, 罗邦安, 王敏. 湖南省成年居民慢性病患病现况及影响因素分析[J]. 预防医学, 2022, 34(11): 1145-1149,1155.
WU Tiantian, ZHU E, YU Jianying, WANG Dongxin, LUO Bang'an, WANG Min. Current prevalence and influencing factors of chronic diseases among adult residents in Hunan Province. Preventive Medicine, 2022, 34(11): 1145-1149,1155.
[1] World Health Organization.World health statistics2018:monitoring health for the SDGs[R/OL].(2018-11-20)[2022-10-01].https://www.who.int/gho/publications/world_health_statistics/2018/en. [2] 中华人民共和国国家卫生和计划生育委员会.中国疾病预防控制工作进展(2015年)[J].首都公共卫生,2015,9(3):97-101. National Health and Family Planning Commission of the People's Republic of China.Progress of disease prevention and control in China (2015)[J].Cap Public Health,2015,9(3):97-101. [3] 中国共产党中央委员会,中华人民共和国国务院.“健康中国2030”规划纲要[M].北京:人民出版社,2016. [4] 谢霏,谢利,李鑫,等.重庆市南岸区中老年人高血压合并糖尿病的患病率及影响因素分析[J].中华流行病学杂志,2019,40(6):666-669. XIE F,XIE L,LI X,et al.Prevalence and risk factors of hypertension combined with diabetes mellitus in middle-aged and elderly people in Nanan District of Chongqing[J].Chin J Epidemiol,2019,40(6):666-669. [5] VARMAGHANI M,DEHGHANI M,HEIDARI E,et al.Global prevalence of chronic obstructive pulmonary disease:systematic review and meta-analysis[J].East Mediterr Health J,2019,25(1):47-57. [6] 彭曼华,张林,黄德建,等.2013年湖南省居民两周患病及≥15岁居民半年内慢性病患病构成分析[J].中华疾病控制杂志,2016,20(9):921-925. PENG M H,ZHANG L,HUANG D J,et al.Analysis of the prevalence of chronic diseases in residents aged ≥15 years and within two weeks in Hunan Province in 2013[J].Chin J Dis Control Prev,2016,20(9):921-925. [7] 万霞,刘建平.临床研究中的样本量估算:(2)观察性研究[J].中医杂志,2007,48(7):599-601. WAN X,LIU J P.Sample size estimation in clinical studies:(2)observational studies[J].J Tradit Chin Med,2007,48(7):599-601. [8] 国家卫生计生委统计信息中心.2013第五次国家卫生服务调查分析报告[M].北京:中国协和医科大学出版社,2015:38. National Health and Family Planning Commission Statistical Information Center.2013 fifth national health service survey and analysis report[M].Beijing:China Union Medical College Press,2015:38. [9] BASTIEN C H,VALLIERES A,MORIN C M.Validation of the Insomnia Severity Index as an outcome measure for insomnia research[J].Sleep Med,2001,2(4):297-307. [10] 贾月辉,葛杰,韩云峰,等.黑龙江省农村居民慢性病患病率及影响因素分析[J].实用预防医学,2017,24(4):407-410,485. JIA Y H,GE J,HAN Y F,et al.Prevalence and influencing factors of chronic diseases in rural residents of Heilongjiang Province[J].Pract Prev Med,2017,24(4):407-410,485. [11] 李慧,叶浩森,徐郁,等.珠海市居民慢性病患病情况及其影响因素分析[J].中华疾病控制杂志,2018,22(1):14-18. LI H,YE H S,XU Y,et al.Prevalence and influencing factors of chronic diseases in Zhuhai Residents[J].Chin J Dis Control Prev,2018,22(1):14-18. [12] KYPRIANIDOU M,PANAGIOTAKOS D,FAKA A,et al.Prevalence of multimorbidity in the Cypriot population:a cross-sectional study(2018-2019)[J/OL].PLoS One,2020,15(10)[2022-10-01].https://doi.org/10.1371/journal.pone.0239835.eCollection 2020. [13] NGUYEN V C,PARK J.Relationships between demographic factors and chronic conditions with disease severities[J].Int J Environ Res Public Health,2021,18(21)[2022-10-01].https://doi.org/10.3390/ijerph182111469. [14] 冯祥,华召来,周琴,等.扬中市40~70岁居民主要慢性病患病现状及影响因素分析[J].中国全科医学,2020,23(20):2564-2570,2575. FENG X,HUA Z L,ZHOU Q,et al.Analysis on the prevalence and influencing factors of major chronic diseases among residents aged 40-70 years old in Yangzhong City[J].Chin Gen Med,2020,23(20):2564-2570,2575. [15] 周玉兰,冉建朝,邓亚利,等.哈密市居民慢性病患病现状及其影响因素分析[J].现代预防医学,2019,46(6):1096-1104. ZHOU Y L,RAN J C,DENG Y L,et al.Analysis on the prevalence and influencing factors of chronic diseases among residents in Hami City[J].Mod Prev Med,2019,46(6):1096-1104. [16] 杨若雪,王秀华,王瑶.农村丧偶独居老年女性应对状况的探索性潜在类别分析[J].解放军护理杂志,2020,37(8):10-14. YANG R X,WANG X H,WANG Y.An exploratory potential category analysis of coping status of elderly women living alone in rural areas[J].Mil Nurs,2020,37(8):10-14. [17] 张浩为,李玉,郭斌,等.黑龙江省中老年人慢性病患病的影响因素研究[J].中国卫生事业管理,2022,39(2):157-160. ZHANG H W,LI Y,GUO B,et al.Study on the influencing factors of chronic diseases among middle-aged and elderly people in Heilongjiang Province[J].Chin Health Serv Manag,2022,39(2):157-160. [18] KARIBURYO M S,ANDRESS L,COLLINS A,et al.Place effects and chronic disease rates in a rural state:evidence from a triangulation of methods[J].Int J Environ Res Public Health,2020,17(18)[2022-10-01].https://doi.org/10.3390/ijerph17186676. [19] 李安乐,赵根明,江峰,等.上海市嘉定区社区居民常见慢性病多病共患现状及其影响因素[J].中国公共卫生,2021,37(12):1766-1769. LI A L,ZHAO G M,JIANG F,et al.Prevalence and risk factors of common chronic diseases among community residents in Jiading District,Shanghai[J].Chin J Public Health,2021,37(12):1766-1769. [20] 张吉,戴舒红,陈洪恩,等.南山区居民吸烟行为影响因素分析[J].预防医学,2022,34(5):466-470. ZHANG J,DAI S H,CHEN H E,et al.Influencing factors of smoking behaviors among residents in Nanshan District[J].Prev Med,2022,34(5):466-470. [21] 尚婕,张梅,赵振平,等.2013年中国成年人吸烟状况与多种慢性病的关联研究[J].中华流行病学杂志,2018,39(4):433-438. SHANG J,ZHANG M,ZHAO Z P,et al.Association between smoking status and multiple chronic diseases among Chinese adults in 2013[J].Chin J Epidemiol,2018,39(4):433-438. [22] MATRICCIANI L,BIN Y S,LALLUKKA T,et al.Rethinking the sleep-health link[J].Sleep Health,2018,4(4):339-348.
