The Prewention And Control Of Chronic Disease And Its Interwention Modle In Chongqing Rural Areas

Part1Study the prevalence of Non-communicable disease and itsKnowledge, Attitude and Behavior survey in Chongqing ruralareasObjective To know the prevalence of Non-communicable disease,Knowledge, Attitude and Behavior about its prevention and control in ruralarea of Chongqing, analyze the influence factors. Provide thecomprehensive advice for preventing and controlling chronic disease.Methods Multi-stage stratified random sampling method was used toselect2400residents aged18years old and above, the questionnaire wasfilled and physical examinations were done in rural areas of Chongqing.Result The prevalence rate of hypertension and diabetes were22.0%and12.6%. Overweight and obesity were25.8%and6.2%. Smoking anddrinking rate were24.8%and22.4%.47.8%and27.9%have monitored blood pressure and blood sugar within the past6months.8.8%and27.4%have the awareness of controlling body weight and actively consultedknowledge. Awareness of knowledge was different from ages, level ofeducation, family income, and the differences were statistically significant.The scores of attitudes on patients and not the patients were different onprevention and control measures. Ages, level of education, family income,BMI and whether patients with diabetes are independent factors forhypertension. However, Age, gender, family income per year, BMI andhigh blood pressure are independent factors for diabetes. Those who areadvanced age, women, obesity or overweight and high blood pressure aremore likely to develop diabetes that others. The differences werestatistically significant.Conclusion The prevalence rate of hypertension and diabetes are abovenormal, low level of knowledge, weak awareness, and low rate of healthbehavior formation warning us that the situation is grim. It’s time to carryon health education according to different people. Increase the intensity ofchronic diseases prevention and control in rural areas, and explore healthinvention model suitable for Chongqing rural areas, in order to reducing theoccurrence of Non-communicable disease. Part2CHRONIC HEALTH LIFESTYLE INSTRUCTORINTERVENTION MODES IN CHONGQING RURAL AREASAND EFFECT EVALUATIONObjective To assessment the intervention work about healthy lifestyleinstructor, and explore content of Non-communicable disease interventionin rural areas. Provide the basis for prevention and control mode on chronicdisease.Methods Based on the principle of voluntary or elected way to chooseHealth Lifestyle Instructor. Let them master the knowledge and skills aboutprevention and control Non-communicable disease by train. After the train,all of them take on intervention work about the community or familymember’s health education and lifestyle.Result After the train, the knowledge rates, like criteria standards,influence factors, preventive measures and complication abouthypertension of intervention objects, are higher than before. And theknowledge rates about criteria standards, high risk group, early symptomand preventive measures of diabetes are higher than before the intervention.The knowledge rates about salt and oil recommended also improved. Thedifferences were statistically significant. Eight attitudes scores, activelyconsult doctors about chronic disease prevention and control are all improved than before the intervention. The proportions of inspected bloodpressure, blood sugar within the past6months are improved. Nevertheless,there are no differences before and after, on rates of every day smoking,plans to quit smoking, drinking in the last12months, and regular physicalactivity. Moreover, salt and oil intake, proportion of cooking habits have nochange. Prevention knowledge of chronic disease is the objects who mostwant to know, followed by risk factors, treatment, complication and harm.Conclusion Health Lifestyle Instructor Intervention has a positiveimpact on improving the awareness of knowledge, change attitude, anddevelop a good living habits in Chongqing areas. Relative to the chronicdisease knowledge awareness and attitudes changes, the behavior lagbehind. We should develop a good lifestyle in the practice life.