Abstract：Objective To investigate the epidemic status of major chronic diseases among adults in Yuhua District of Changsha City, to analyze the main risk factors of hypertension and diabetes in this region so as to put forward effective prevention and control measures. Methods A multistage random sampling method was used to select 4,113 permanent residents aged 18 years and above in Yuhua District in 2015. Data were obtained through a questionnaire survey, physical examination and blood glucose testing. The data of the questionnaire survey were inputed by EpiData3.1 double-entry method. Statistical analysis, Chi-square test and multivariate logistic regression analysis were performed by Excel 2007 and SPSS 18.0 software. Results The prevalence rates of top 10 chronic diseases in the adults in Yuhua District in 2015 were hypertension (21.47%), diabetes (10.99%), coronary heart disease (3.57%), chronic obstructive pulmonary disease (1.56%), cerebrovascular disease (0.95%), chronic gastroenteritis (0.90%), lumbar disc disease (0.83%), cervical spondylosis (0.53%), hyperlipidemia (0.46%), gallstone and cholecystitis (0.44%). The prevalence rates of hypertension and diabetes increased with the increasing age (hypertension: χ2tendency=526.696,P=0.000;diabetes: χ2tendency=183.936,P=0.000), and the prevalence rate of the age group of 60- years was the highest. The prevalence rates of overweight, obesity and central obesity in the adults were 28.2%, 6.9% and 27.3% respectively. Multivariate logistic regression analysis showed that the risk factors for hypertension were the age groups of 45- and 60- years, overweight, obesity, central obesity, eating pork, beef and mutton for 1-2 days per week and eating chicken and duck meat for 5-7 days per week. The risk factors for diabetes were the age groups of 35-, 45- and 60- years, overweight, obesity, central obesity, eating fruit less than 1 day per week, eating beef and mutton less than 1 day per week and eating chicken and duck meat for 5-7 days per week. Conclusions Hypertension and diabetes are the main chronic diseases among the residents aged 18 years and above in Yuhua District of Changsha City. The key populations for prevention and treatment of hypertension and diabetes in this region are the adults aged 45- years, the elders aged 60- years and the grown-ups with overweight, obesity and central obesity.
胡蓉，周桂凤，周建湘，何韬，陈偲. 2015年长沙市雨花区成人主要慢性病流行现状及影响因素分析[J]. 实用预防医学, 2017, 24(11): 1349-1353.
HU Rong, ZHOU Gui-feng, ZHOU Jian-xiang, HE Tao, CHEN Si. Epidemic status of major chronic diseases and their influencing factors among adults in Yuhua District of Changsha City, 2015. , 2017, 24(11): 1349-1353.
2017, Vol. 24 
