| Objective Through the follow-up investigation of chronic disease prevalence and related bad behaviors and living habits in Xihu District from 2011 to 2015,to grasp the changes of chronic disease prevalence,related physiological indexes,related behaviors and living habits,awareness rates of related knowledge among residents,then to evaluate the phase effects of chronic disease comprehensive prevention and control,to provide basis and policy suggestions for next work.Methods 3515 residents living in 6 communities of 3 neighborhoods were selected randomly with stratified cluster sampling in Xihu District.Using field epidemiological investigation,chronic disease prevalence and related bad behaviors and living habits were investigated,related physiological indexes were measured,such as blood pressure,weight.With Chi-square test,t test,rank sum test,standardized rate,confidence interval,data was analysed to make comparisions with baseline investigation and to evaluate the phase effects of chronic disease comprehensive prevention and control.Results 3515 adults were investigated,whose ratio of male to female was 93.94:100,average age was 55.38±14.71 years old.(1)Chronic disease prevalence: The chronic disease prevalence of 2015 was 42.11%,standardized rate was 25.00% that was significantly higher than 2011(P<0.05).(2)Chronic disease spectru: The first five ranks of chronic disease spectru were hypertension(p=34.20%),diabetes mellitus(p=7.17%),heartdisease(p=2.62%),hyperlipidemia(p=1.54%),cerebrovascular disease(p=1.17%).Chronic disease spectru was basically identical compared with baseline investigation,but prevalence had increased.(3)Related physiological indexes: The average waist circumference,BMI(Body Mass Index),systolic blood pressure,diastolic blood pressure were 80.99±9.37 Cm,23.10±3.16Kg/m2,126.00±16.26 mm Hg,78.41±16.29 mm Hg respectively.Compared with baseline investigation,waist circumference and BMI had increased significantly(P<0.05),the ratio of overweight and obesity was higher.(4)Related factors and living habits: Compared with baseline investigation,active smoking rate(24.55%),passive smoking rate(35.41%),drinking rate(21.70%)were lower significantly(P<0.05),average intake of vegetables(292.95g)had no significant change(P>0.05),average intake of fruits(162.52g)had increased significantly(P<0.05),ratio of feeling nervous frequently(83.81%)had no significant change(P>0.05),ratio of light taste(40.14%)had increased significantly(P<0.05),ratio of regular diet(92.23%)had increased significantly(P<0.05),frequency of tooth brushing was mainly 2 times per day and tooth brushing habit had improved significantly(P<0.05),intake of milk and dairy products had decreased significantly(P<0.05),ratio of reaching standard exercise(65.32%)had increased significantly(P<0.05).(5)Awareness rates of related knowledge: Compared with baseline investigation,the awareness rate of nutrition labeling(54.99%)had no significant change(P>0.05),the awareness rate of chronic disease risk factors(55.36%)had increased significantly(P<0.001).Conclusion Chronic disease prevalence had not decreased but increased,while chronic disease spectru had no change.Most of related bad behaviors and living habits had been improved,healthy behaviors and life style had been taken more and more attention.The ratio of taking part in sports and reaching standard exercise had been higher and higher.The awareness rate of chronic disease risk factors had increased significantly.Above all,chronic disease comprehensive prevention and control in Xihu District had achieved remarkable phase effects.But some related bad behaviors had not been improved significantly,chronic disease prevalence had been increasing.Chronic disease comprehensive prevention and control is still a long and arduous task.Present chronic disease comprehensive interventions and modle are effective,which should be sustained.Aimed at ratio of feeling nervous frequently,intake of milk and dairy products,awareness rate of nutrition labeling which had no significant change,related policy or syetem should be published and promulgated positively,to increase the awareness rates of related knowledge and to promote healthy activities,finally to obtain much greater effects. |
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