Objective To explore the prevalence of chronic diseases and its risk factors among residents aged ≥ 35,and provide scientific evidence for formulating appropriate prevention and control measures.Methods A total of 8190 residents aged≥35 were selected randomly by stratified multi-stage cluster sampling.Self-designed questionnaire was adopted,and the content included general demographic data,health-related behaviorand the detection results of chronic diseases.Results The prevalence of chronic diseases was 32.21％ among the residents,and the age-adjusted rates were 29.19％.Hypertension,heart disease,diabetes,cerebrovascular disease and lumbar disc disease were top 5 prevalent diseases in study population with the prevalence rates of 12.99％,7.86％,3.91％,3.51％,2.39％,respectively.Logistic regression analysis showedthat influencing factors were gender (OR =1.311),age (OR =1.860),educational level (OR =0.909),occupation (OR =1.188),marriage (OR =0.515,0.672),income (OR =0.789),smoking status (OR =2.155),sleeping quality (OR =0.618) and BMI (OR =1.246).Conclusion The targeted intervention activities combined with local demographic and socioeconomic characteristics are necessary for chronic disease prevention.%目的 了解35岁及以上城市居民慢性病患病现状及相关影响因素,为慢性病的防控提供科学依据.方法 采用分层整群随机抽样方法,随机抽取8190名年满35周岁的城市居民,以入户面访方式进行问卷调查,调查问卷内容包括人口学特征、健康相关行为以及慢性病检出情况.结果 慢性病总体患病率为32.21％,标化率为29.19％,同时患2种及其以上慢性病患病率为8.12％;患病率居于前5位的疾病依次为高血压(12.99％)、心脏病(7.86％)、糖尿病(3.91％)、脑血管疾病(3.51％)、椎间盘疾病(2.39％).多因素非条件Logistic回归分析显示,性别(OR=1.311)、年龄(OR=1.860)、文化程度(OR=0.909)、职业(OR=1.188)、婚姻状况(OR值分别为0.515、0.672)、家庭年收入(OR=0.789)、吸烟(OR =2.155)、睡眠质量(OR=0.618)以及体质指数(OR=1.246)是慢性病患病的影响因素.结论 慢性病的防治工作要结合人口学、社会经济学特征和健康相关行为有针对性的开展.
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