| Objectives:1. Find out the stroke and other chronic diseases condition of community population in Shandong Province;2. Explore the demographic characteristics of stroke community population in Shandong Province, as well as the relationship between stroke and high blood pressure, diabetes, dyslipidemia, and other risk factors;3. Analysis the epidemiological characteristics of stroke and other chronic diseases in Shandong, and provide guidance for future prevention;4. As an opportunity to further study the epidemiology of stroke-related etiology, lay the foundation for stroke intervention factors smoothly in the future.5. Explore the awareness of the masses of the community and other chronic disease knowledge and prevention awareness, for effective prevention and control of propaganda, and tertiary prevention of stroke.Methods:Choose 11 points 9 cities in Shandong Province, for people aged ≥40 conduct stroke and associated risk factors screening and intervention. Using cluster multi-stage random sampling method to ensure that more than 90% of the resident population ≥40 years of age can be incorporated.(1) survey questionnaire is divided into the registration form, from residents’ health records and street / rural household registration office to obtain basic information about the resident population;(2) stroke in high-risk populations to assess the risk profile screening, community health stations in the city / village clinics or temporary room to carry out site surveys risk factors for stroke screening assessment of stroke in high-risk groups to get the assessment;(3) risk of stroke and stroke recurrence risk screening table. Conducted according to specific criteria for its quantitative assessment of risk factors for stroke, according to the study of stroke evaluation criteria are divided into low-risk, medium risk and high risk category 3. High-risk groups in accordance with the individual cases, to carry out the relevant checks selectivity, the main contents include: carotid auscultation, laboratory tests, carotid ultrasound examination. From the low-risk and moderate-risk populations of small random sample subjected to the same questionnaire and laboratory tests.The questionnaire collected data have been collated and logical proof, using Epi Info3.5.1 software entry, using SPSS15.0 statistical software for data collection and analysis.Results:1 The actual amount of the sample population included in the survey and intervention to establish a complete archive of 231,289 cases, of which Jinan City 46,286 cases, 31,985 cases of Qingdao City, 20,039 cases of Jining City, 20,346 cases of Weifang City, 26,503 cases of Dongying City, 22,408 cases of Liaocheng City, 19,934 cases of Binzhou City, 19,891 cases of Linyi City, 23,897 cases of Yantai City.2 In the survey, aged 40-49 years accounted for 34.26%, 50-59 years of age accounted for 66093%, 22.11% were 60-69 years old, 70-79 years old accounted for 11.28%, 80-89 years of age accounted for 3.48%, accounted for more than 90 years 0.29%. Survey sample population mainly between 40-69 years of age, accounting for 84.95%. Han 229,989 people, accounting for 99.44%; 4,194 marital status of unmarried people, married 217,065 people, 9,250 people widowed, divorced 358 people, education in junior high school and below accounted for 55.72%, less educated, and nearly half are Investigators for the farmers.3 The survey, basic medical insurance for urban workers, 55 308 people, accounting for 23.91%; new basic medical insurance for urban residents 20,627 people, accounting for 8.92%; NCMS 147,480 people, accounting for 63.76%; poor rescue 39 people, accounting for 0.02%; 173 commercial medical insurance, accounting for 0.07 %, all at public expense 4,048, accounting for 1.75%, all at their own expense 2,287 people, accounting for 0.99%, other social insurance 486 people, accounting for 0.21 percent; the other 841 people, accounting for 0.36%. Where basic medical insurance and new rural cooperative medical care is the main form of health care, accounting for 87.67%.4 All 231,289 cases enrolled population, after the baseline survey, found that 37,965 cases of stroke risk populations, screening out dangerous crowd was 16.41%. 151,758 among low-risk population, accounting for 69.93%; risk populations in 31,566, accounting for 13.65%; 37,965 high-risk people, accounting for 16.41%; 523 people are suffering from stroke, accounting for 0.2%. Were surveyed in stroke prevalence of 2.40%, which accounted for 90.49% of ischemic stroke, hemorrhagic stroke accounted for 6.54%, 1.715% mixed stroke.5 ShanDong community prevalence of stroke compared to the prevalence of Qingdao city lowest prevalence, prevalence differences between communities statistically significant(χ2 = 713.691, P <0.001). Class 2 community prevalence of stroke significantly different, Shandong Province, the prevalence of stroke has a Rural> cities. Male stroke prevalence rate of 2.82%, 2.03% prevalence of stroke in women, the prevalence of risk for men and women by χ2 test showed a significant difference(χ2 = 153.783, P <0.001), OR = 1.40, men suffering from stroke is 1.40 times higher than women.6 The prevalence of stroke in male smokers 3.31%, prevalence of stroke in male nonsmokers 2.59% by χ2 test showed that the prevalence of male smoking or not significantly different(χ2 = 45.084, P <0.001), OR = 1.289, the risk of stroke in male smokers was 1.289 times that of non-smokers. Female smokers 3.58% prevalence of stroke, stroke prevalence of female non-smokers to 1.99%, the χ2 test found that women Smoking or not significantly different(χ2 = 35.335, P <0.001). 7 Shandong Province sample population complained prevalence of hypertension was 22.51%, higher than the 2002 China National Nutrition and Health Survey of 18.80 percent nationwide prevalence of hypertension.8 Surveyed population prevalence of high cholesterol readme 9.01%. Through the pre-survey found that the situation for their own degree of awareness lipids community is much lower than for stroke, hypertension and diabetes are aware of the situation, there are 18.72% of respondents did not know their lipid profile.Conclusion:1 Shandong stroke prevalence(2.40%) higher than the standardized prevalence of stroke(1.82%), the risk of a rate of 16.41% population screening, the incidence of hypertension among the risk factors for stroke in the first place, other hazards factors were high blood cholesterol, diabetes, male sex, lack of exercise, and family history of stroke. Therefore, prevention of stroke should focus on prevention of hypertension and high cholesterol.2 Shandong health care services to the urban basic medical insurance and new rural cooperative medical care based, supplemented by other health insurance.3 The prevalence of hypertension in women(23.88%) than men(20.95%), with the national survey data opposite.4 The low level of education of its population higher prevalence of hypertension, the possible reasons for the low level of education were less self-health awareness.5 Finding high cholesterol and diabetes relevant. Engaged in mental and management and has a high level of education high cholesterol and diabetes prevalence is higher than manual workers and less educated people. |
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