杭州市上城区居民2周患病率及影响因素分析

摘要

Objective To examine two-week morbidity rate of diseases and its major influential factors among thecommunity residents in Shangcheng district Hangzhou. Methods Totally 1 508 permanent residents from 5 streets were selected randomly by means of stratified-cluster sampling and surveyed with a standardized questionnaire. Logis-tic regression analysis were used in data analyses. Results The overall two-week morbidity rate was 40.58% for all the residents(42.40% for the men,38.90% for the women). The two-week morbidity of 0-17 years,18-39 years,40-59 years,≥60 years group were 3.45%,2.98%,30.74%and 97.98%,respectively.The older age, the higher morbidity was. Logistic regression showed that major influential factors of the residents two-week morbidity rate included age,educa-tionlevel, overweight and obesity, employment status. from the disease system point of view,the first 5 followed by cir-culation system diseases (24.34%),endocrine/nutrition/metabolism system diseases (6.70%),digestive system diseases (1.86%),musculoskeletal system diseases (1.59%),respiratory system diseases (1.26%) and malignancy (1.26%).The diseases with top fivemorbidity rate were hypertension(21.15%),diabetes(6.03%),other types of heart disease(1.13%), prostatic hyperplasia or inflammation(0.80%), other ischemic heart disease(0.73%). Conclusion Two-week prevalence of diseases among community residents of Shangcheng district Hangzhou was high. More attention should be paid to residents with older age,low education level, overweight and obesity, and with low education,being retired from office.%目的：了解杭州市上城区社区居民2周患病率并分析其影响因素。方法采用多阶段分层随机整群抽样的方法，于2013年9月随机抽取上城区1508名社区居民作为调查对象，使用统一的调查表进行入户调查。结果杭州市上城区居民2周患病率40.58%，男性42.40%，女性38.90%（χ2=1.91，P＞0.05）；0～17岁、18～39岁、40～59岁、≥60岁的2周患病率分别为3.45%、2.98%、30.74%和97.98%。随着年龄增加，2周患病率呈上升趋势（χ2=792.35，P<0.01）。Logistic回归分析结果显示：年龄、文化程度、超重/肥胖、就业状况是居民2周患病率的主要影响因素。从疾病系统别来看，排在前5位的分别是循环系统24.34%、内分泌／营养／代谢系统6.70%、消化系统疾病1.86%、肌肉骨骼系统1.59%、呼吸系统和恶性肿瘤并列第5位，均为1.26%。按照疾病别分析2周患病，排在前5位的分别是高血压21.15%、糖尿病6.03%、其他类型心脏病1.13%、前列腺增生或炎症0.80%，其他缺血性心脏病0.73%。结论杭州市上城区居民2周患病率较高，应重点关注老人、文化程度低、超重/肥胖和离退休人群。