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An epidemiological survey of common anorectal diseases among Lanxi urban residents |
ZHENG Wei-fang, WU Sheng-zhi, LU Zhong-hua, WANG Hong-ying, JIANG Yan-jie, MA Xiao-guang
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Lanxi Red Cross hospital, Jinhua, Zhejiang, 321000, China |
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Abstract Objective To learn the prevalence and risk factors of anorectal diseases among urban population aged 18-80 years in Lanxi. Methods Typical sampling was adopted to select one urban area from Lanxi City. Face-to-face interviews and physical examinations were carried out to collect data during June 2015 to September 2015. Results A total of 3 327 residents were recruited, of which 2 931 were involved in both questionnaires and physical examinations. Totally, 1 554 participants were detected one or more anorectal diseases. The prevalence rate was 53.02% (standardized rate 45.61%).Hemorrhoids cases was accounted to the most, and the prevalence rate was 49.47% (standardized rate 42.41%). Male was associated lower risk of hemorrhoid (OR=0.37, 95%CI 0.32-0.44). Compared to 18-30 age group, older age were associated with increasing risks of hemorrhoid significantly despite of 31- age group. Results for different groups were 41-(OR=1.66,95%CI1.05-2.62), 51-(OR=1.94,95%CI1.23-3.07), 61-(OR=1.92,95%CI1.19-3.09) and 71-80 (OR=2.62,95%CI1.57-4.39).Only junior high school (OR=1.30, 95%CI 1.01-1.66) and senior high school (OR=1.57, 95%CI 1.19-2.07) were significantly associated with high risk of hemorrhoid. Conclusion The prevalence of anorectal diseases in Lanxi urban area is high. Gender, age and education level might be independent risk factors of hemorrhoid. Therefore, preventive strategies should vary across different population with different characteristics.
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Received: 08 February 2016
Published: 11 December 2017
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[1] WHITEFORD M H, KILKENNY J, HYMAN N, et al. Practice parameters for the treatment of perianal abscess and fistula-in-ano (revised)[J]. Dis Colon Rectum, 2005,48(7):1337-1342. [2]陈平, 田振国, 周璐, 等. 湖北省城区居民肛肠疾病流行病学调查[J]. 中国医药科学, 2015,5(5):188-191. [3]符春平, 赵锡林, 赵宏福, 等. 贵州黔南地区农村居民肛肠疾病患病现状及危险因素[J]. 中国公共卫生, 2015,31(4):397-400. [4]樊晓斌, 黄晨容. 健康人群肛门直肠疾病发病情况调查[J]. 中国地方病防治杂志, 2014(S2):73. [5]王文进, 李梅岭, 何洪芹, 等. 沧州城乡居民肛周疾病的流行病学调查[J]. 实用预防医学, 2011,18(1):38-40. [6]中华中医药学会. 中医肛肠科常见病诊疗指南[M]. 北京: 中国中医药出版社, 2012. [7]张泰昌. 大肠肛门病学[M]. 北京: 北京科学技术出版社, 2010. [8]郑卫方, 林建江, 卢中华, 等. 农村居民常见肛肠疾病患病率及影响因素研究[J]. 浙江预防医学, 2015,27(6):544-546. [9]谢光球. 岳阳市2000年健康体检6 108人的肛肠病调查[J]. 职业与健康, 2002,18(6):125-126. [10]张茂香, 杨栋, 龚爱香. 连云港市妊娠及产后妇女肛肠疾病调查与分析[J]. 中国医学创新, 2012,9(4):99-100. [11]翟云起, 张桂荣, 高文明. 女性肛肠疾病的临床特点及分析[J]. 临床和实验医学杂志, 2008,7(4):137. [12]PEERY A F, SANDLER R S, GALANKO J A, et al. Risk factors for hemorrhoids on screening colonoscopy[J]. PLoS One, 2015,10(9):e0139100. [13]石焕芝, 任宝印,王丽璞. 肛门直肠疾病流行病学分析[J]. 中国肛肠病杂志, 2000,20(3):10-12. [14]ANDERSON J W, BAIRD P, DAVIS R J, et al. Health benefits of dietary fiber[J]. Nutr Rev, 2009,67(4):188-205. [15]JOHANSON J F, SONNENBERG A. The prevalence of hemorrhoids and chronic constipation:an epidemiologic study[J]. Gastroenterology, 1990,98(2):380-386. |
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