| Objective To analyze the occurrence level and epidemic characteristics of common chronic disease comorbidities among 35~74-aged health check populatione in Hainan Province;To explore the status of comorbidities of chronic diseases with hypertension and overweight and obesity in 35~74-aged health check populatione;To analyze the relationship between chronic disease-related risk factors such as age,gender,dietary behavior,and lifestyle and hypertension-overweight and obesity comorbidities;According to the research results,it provides a reference for the prevention and management of middle-aged and elderly patients with chronic disease comorbidities in Hainan Province,and puts forward policy recommendations for the intervention and prevention of patients with chronic disease comorbidities.Methods The first stage was to use retrospective analysis to analyze the epidemiological characteristics of the 35 to 74 years old middle-aged and elderly population who underwent a physical examination in a hospital in Hainan Province from 2009 to 2018.The second stage is to use a convenient sampling method to conduct a current survey of 1181 cases of resident residents in Hainan Province aged35 to 74 in Hainan Province.The survey content includes questionnaires and fasting physical examinations.Using SPSS 20.0 data analysis software,apply statistical description method to analyze the epidemic characteristics of chronic diseases from2009 to 2018 and the co-morbidity of chronic diseases of different ages,genders and years,and analyze the demographic signs of the current research;Chi-square test wasused to analyze between the differences of epidemiological with chronic disease comorbidities.Multivariate Logistic regression analysis was used to analyze the related risk factors for chronic disease comorbidities.The test level α = 0.05,P <0.05 considered that the difference was statistically significant.Results 1.From 2009 to 2018,among the 42,626 study subjects,the highest detection rate of common chronic diseases was hyperlipidemia(39.1%),followed by hypertension(30.4%),and the detection rate of diabetes was 7.3%.Different years diabetes,hypertension and hyperlipidemia detection rate differences were statistically significant(c2values were 433973.566、375651.622、607520.539,P <0.001).The detection rate of 2 or more chronic diseases is 18.5%,men(43.3%)were higher than women(5.9%).In the past ten years,the highest detection rate of chronic disease comorbidities in 2015 was 23.2%,which showed an overall upward trend(Z = 5.736,P <0.017).There were significant differences in the detection rates of comorbidities among different genders,ages and years(c2 values were 8.575,45.487,55.046,P<0.001).2.1181 cases of 35 to 74 years old residents in Hainan Province,among them,the detection rate of hypertension was 23.9%,the detection rate of overweight and obesity was 42.9%.The comorbidity rate of hypertension-overweight and obesity was12.9%.3.The results of single factor analysis of the detection of hypertension-overweight obesity comorbidities showed that there were statistically significant differences between different genders,ages,education levels,and occupations(c2 values were 13.731,26.383,31.041,27.496,P <0.001).The detection rate of men(16.5%)is higher than that of women(9.3%).With the increase of age,the trend of increasing first and then decreasing,the detection rate of hypertension-overweight obesity(33.3%)of the administrative staff of the household workers is higher than that of other occupations.The detection rate of hypertension-overweight and obesity co-morbidity first increased and then decreased with the change of educational level.The "high school" education level had the highest detection rate of hypertension-overweight and obesity co-morbidity(20.7%).4.Hypertension-overweight and obesity co-morbidity lifestyle and body composition single factor analysis results showed that smoking frequency,passive smoking,frequency of drinking in the past year,breakfast,supper,high intensity exercise,medium intensity,low intensity or walking,sleep There were no significant differences in other factors(c2 values were 6.995,3.381,10.914,1.651,0.897,0.265,0.036,0.195,0.011,P> 0.05).Among them,the number of daily smokers starting from 18 to 30 years old accounted for the largest proportion(73.7%),and those who had passive smoking almost every day(16.8%).The highest drinking rate(33.6%)is 1to 2 days per years,1.8% of those who do not eat breakfast every day and 1.3% of those who eat supper every day.18.4% of people without any physical activity and19.1% of lack of sleep time.There were statistically significant differences in drinking,milk and product intake,days of moderate-intensity exercise,and visceral fat levels(c2 values were 5.409,7.413,9.844,69.632,P <0.05).Among them,the inadequate intake rate of dairy products and products was 68.4%,and the number of medium-intensity exercise days a week was the most(10.8%).Those with visceral fat grades 1 to 9(normal)were 27.5% lower than those without comorbidities,but those with grades 15 to 29(high-risk)were 13.9% higher than those without comorbidities.5.The results of multivariate regression analysis of hypertension-overweight obesity comorbidities showed that education level,age and visceral fat level are the influencing factors of chronic disease comorbid hypertension-overweight and obesity,which can enter the regression equation(P <0.05),and regression equation The degree of fit is good.The higher of educational level,the lower the risk of detecting hypertension-overweight obesity co-morbidity [OR = 0.016,95.0% confidence interval is(0.710,0.931)].Every additional year of age,the risk of detecting hypertension-overweight obesity comorbidity increased 1.032 times [OR=1.032,95.0%CI(1.013,1.502)].For every degree increase in visceral fat risk level,the risk of detecting hypertension-overweight obesity comorbidity increases by 2.542 times.[OR=2.542,95.0%CI(1.949,3.316)].Conclusion From 2009 to 2018,the detection of common chronic diseases and co-morbidities Province showed an upward trend among people aged 35 to 74 inHainan.Detection rate of male chronic disease comorbidities in women.Chronic disease comorbidities increases with age,and the greater the risk of detection of visceral fat levels were higher chronic disease.The management of chronic diseases and the monitoring of health status of high-risk groups should be strengthened. |
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