Objective To investigate the present incidence of main chronic diseases among aged people in the rural communities of Conghua, Guangzhou city and analyze the risk factors. Methods Total 4 291 aged people from a rural community in Conghua, Guangzhou city were recruited from March to November 2011 by random cluster sampling. Questionnaire survey and physical check - up were conducted among the subjects to investigate and analyze five kinds of chronic diseases and the risk factors. Results Among the 4 230 Patients with chronic diseases, 69. 20% (2 927/4 230) had at least one of the five chronic diseases, of which 54.66% (2 312/4 230) had hypertension, 43.38% (1835/4 230) had hyperlipidemia, 19.62% (830/ 4 230) had hyperglycemia, 15.53% (657/4 230) had coronary heart disease, and 5. 77% (244/4 230) had cerebrovascular disease; and 44.11 % (1 866/4 230) had more than two kinds of the five diseases. The level of risk factors (except factors of over - weight and higher salt intake) was higher for aged male than female ( P < 0. 05 ). Conclusion The prevalence of the five chronic diseases among aged people and the related risk factors are in higher level in this community, which should be paid attention and the feasible health management should be carried out accordingly.%目的 了解广州从化乡村社区老年人主要慢性病流行现状及其危险因素.方法 于2011年3-11月采用整群抽样方法选取广州市从化某社区老年人4 291例,采用问卷调查和健康体检的方式对其5种慢性病(即高血压、高脂血症、糖尿病、冠心病、脑血管病)患病情况及其危险因素进行调查和统计学分析.结果 4 230例老年人中,至少患有5种慢性病中1种的患病率为69.20％ (2 927/4 230),其中高血压54.66％ (2 312/4230)、高脂血症43.38％(1 835/4230)、糖尿病19.62％ (830/4230)、冠心病15.53％ (657/4230)和脑血管病5.77％ (244/4 230)；同时患有5种慢性病中2种及以上的复杂病例患病率为44.11％(1 866/4 230)；老年男性危险因素(除超重、摄盐较多外)暴露水平均高于女性,差异有统计学意义(P＜0.05).结论 该乡村社区老年人5种慢性病的患病率和相关危险因素均处于较高水平,应重视并针对乡村社区老年人慢性病及其危险因素进行行之有效的健康管理.
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