Abstract：Objective To explore the prevalence of major chronic diseases and its impact on self-rating health status among adults in Liuyang City. Methods We analyzed the effective baseline data of 59,916 permanent residents who were aged 30-79 years and had been enrolled into the China Kadiore Biobank (CKB) study in Liuyang City. Logistic regression analysis was conducted to investigate the surveyed subjects’ self-rated health status and its major influencing factors. Results A total of 59,916 residents were surveyed, with the average age of (51.57±10.54)years. Most of the residents (58.6%) had an educational background of senior high school. 67.4% of the residents had an annual income of ￥20,000- 40,000, 92.88% were in good health in their self-evaluation and 7.12% were poorly evaluated. The prevalence rates of hypertension, diabetes and chronic obstructive pulmonary disease (COPD) in the residents were 33.7%, 3.46% and 7.36% respectively. The prevalence rates of hypertension and diabetes were higher in females than in males (both P<0.01), while the prevalence rate of COPD was higher in males than in females (P<0.01). The awareness rates of hypertension and diabetes were 36.70% and 55.00% respectively. The self-rated health status revealed that the proportions of good and poor health status showed statistically significant differences in the residents with different ages, genders, marital status and medical insurance status and with or without chronic diseases (all P<0.01). The biggest risk factor influencing poor self-rated health status was diabetes (OR=2.95, 95%CI:2.61-3.33), followed by COPD (OR=2.59, 95%CI:2.35-2.84) and hypertension (OR=1.55, 95%CI:1.44-1.67). Both male and female patients with chronic diseases thought that diabetes had the greatest negative influence on their self-assessment of health status (female: ORdiabetes=3.04, ORCOPD=2.69, ORhypertension=1.39; male: ORdiabetes=2.84, ORCOPD=2.59, ORhypertension=1.83). Old age and bachelordom were the risk factors for good self-health evaluation, while having social medical insurance, having a higher income and having a higher BMI were the protective factors for good self-health evaluation. Conclusions Self-health evaluation of the chronic disease patients is significantly inferior to that of normal people. Diabetes has the greatest impact on the residents’ self-health evaluation, and the risk of hypertension may be underestimated. Therefore, healthy lifestyle behavior intervention needs to be intensified.
付中喜, 金东辉, 陈碧云, 殷黎, 龙花君, 刘慧琳, 郭彧, 卞铮, 李立明, 陈铮鸣. 浏阳市成年人主要慢性病患病情况及对健康状况自我评价的影响[J]. 实用预防医学, 2018, 25(12): 1416-1421.
FU Zhong-xi, JIN Dong-hui, CHEN Bi-yun, YIN Li, LONG Hua-jun, LIU Hui-lin, GUO Yu, BIAN Zheng, LI Li-ming, CHEN Zheng-ming. Prevalence of major chronic diseases and its impact on self-evaluation of health status among adults in Liuyang City. , 2018, 25(12): 1416-1421.
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2018, Vol. 25 
