| BackgroundIn recent years,with the rapid development of our social economy,leap forward of science and technology and enhancement of medical technology.People’s material and cultural life level continuously improve,people’s behavior way of life,nature of work and interpersonal communication mode are changing so much,cardiovascular diabetes,cancer and other chronic non-communicable diseases have seriously affected the residents’ health and quality of life,has brought the family and social seriously burden of disease and economic.According to abroad study of chronic disease,the disease risk and economic burden what the chronic disease has made has more than the impact of the global financial crisis,global chronic non-communicable mortality rate is 70%,accounting for 57%of the global burden of disease.Domestic chronic disease researches show that China’s prevalence and mortality of chronic disease is rapidly increasing,by 2010,residents in China the cause of mortality in the top four has been occupied by chronic disease,and present a trend of increasing,chronic disease has become a threat to our country residents’ health "number one killer".The cause of chronic disease is particularity,which under a variety of risk factors for a long-term formed,the etiology mainly includes the genetic factors,environmental factors,life behavior and aging etc.Both in China and around the world,chronic non-communicable diseases have become a very important public health problem,the prevention and treatment of chronic disease is a long way to go.Shandong province is the population in the eastern coastal areas,the aging has entered a stage of rapid development,and in the prevention and control of chronic disease has problems,includes implement technology scattered,no system,the lack of scientific andhandling.Therefore,conducted a chronic prevalence and risk factors with population based is an important link for prevention and control of chronic diseases,to quantify the relationship between risk factors and their influence on chronic disease has a vital significance in formulating chronic disease related health promotion interventions.ObjectivesThe main purpose of this research is to study the prevalence of chronic disease in of elderly residents in Shandong province,analysis its main risk factors,provide advice for the development of health promotion and chronic disease prevention.The specific objective are:1.To understand the basic situation of elderly residents,including the prevalence of main chronic disease,social economic characteristics,related risk factors;2.To fund out the main factors of chronic disease in Shandong province3.To fund out the main factors of main chronic disease in Shandong province4.To provide advice for the development of health promotion and chronic disease preventionMethodsData was extracted from the Fifth National Health Services Survey in 2013.A multi-stage randomized sampling was employed,following the principle of cost-effectiveness.The research sample covering]7 cities in Shandong Province,a total of 20 counties,12,000 families(almost 40,000 residents)which was representative to both rural and urban residents,including 17065 people in the elderly.This study used descriptive analysis to describe prevalence of the main chronic disease,social economic characteristics,related risk factors etc;compare rate between groups by chi-square test;the method of single factors and multiple factors Logistic analysis was used to analyze main influencing factors of chronic diseases.Main Results and Conclusions1.The date has 17065 elderly people totally,the city of 5494 people,11,571 rural people;there are 8129 male,8936 female;average age is 60.06+10.48.In addition to the gender,age distribution,cultural degree,marital status,professional type,medical insurance,annual per capita income between urban and rural areas have the statistically significant;In addition to drinking,self-reported health status,smoking,exercise behavior,BMI level between urban and rural areas have the statistically significant.2.The prevalence of NCDs is 38.9%,according to the specific diseases,the main types of NCDs were hypertension,chronic periodontitis,diabetes,COPD,and cancer,their prevalence were 26.1%,9.9%,7.7%,5.1%,1.6%.Over all,the NCDs prevalence of elderly residents in Shandong Province was relatively broad,the health condition was not good.3.The analysis of multiple factors Logistic of NCDs showed that the urban and rural areas,gender,age,marital status,professional type,annual per capita income,etc and smoking,drinking,exercise behavior,BMI level,self-reported health status etc were major risk factors of NCDs.4.The analysis of multiple factors Logistic of major NCDs showed that the urban and rural areas,age.,occupation,annual per capita income,smoking,drinking,exercise,BMI level were the major risk factors of hypertension;Urban and rural,cultural degree,physical exercise,brush teeth were the major risk factors of chronic periodontitis;Urban and rural,age,average per capita income,BMI level were the major risk factors of diabetes.5.Health care behavior had no significant impact on chronic disease.Policy Suggestions1.Change the idea of prevention and treatment of chronic diseases,by the "heavy treatment light prevention" to "paying equal attention to prevention and control"2.The chronic disease prevention legislation,government involvement3.Turn "focusing on city" to "urban and rural joint attention"4.Focus on tobacco control,control the related risk factors chronic diseases5.To promote "healthy in Shandong",realize the national fitness... |
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