An Investigation On Prevalence And Influencing Factors Of Chronic Disease In Jianshi County

Objective:To find out the prevalence and influencing factors of main noncommunicable disease such as hypertension and diabetes in Jianshi where in the western mountains in Hubei province and help the local health departments to provide a reference for making the prevention strategies and control measure.Method:we has selected 3080 residents from 10 rural town and 5 community in Jianshi.,who is above 18 and lived in this place of more than 6 mouths between June,2015,adopting mufti-stage cluster and simple randomization method to do the same questionnaires,body measurement and blood pressure as well as blood test to know the prevalence and risk factors for chronic disease.This paper take the data of the sixth national census as standard and chi-square test compare count data,to analyze the prevalence and risk factors for chronic disease with multi-factor unconditioned logistic regression analysis.Results:Among the 3075 residents,843 cases had chronic diseases,the chronic diseases prevalence rate was 27.41%,and standardized prevalence rate was 26.21%.The prevalence rate of chronic diseases among different gender had no distinction（χ²=0.760,P>0.05）.The prevalence rate of chronic diseases among different age had distinction（χ²=367.799,P<0.01）.The prevalence rate of chronic diseases among different communities’residents had distinction（χ²=5.961,P<0.05）.According to univariate analysis results,low level of education（χ²=435.118,P<0.05）,different marital status（χ²=87.230,P<0.05）,low education level(χ²⁼166.484,P<0.05),low monthly income（χ²=134.652,P<0.05）,family history of stroke（χ²=8.732,P<0.05）,family history of myocardial infarction（χ²=6.464,P<0.05）.family history of chronic obstructive pulmonary disease（χ²=8.524,P<0.05）family history of asthma（χ²=9.871,P<0.05）,family history of hypertension（χ2=8.396,P<0.05）,family history of diabetes mellitus（χ²=17.322,P<0.05）;were the important affecting factors among demographic characteristic factors.Among behavior and life style factors,we find that the indepent influencing factors of chronic diseases include lack of physical（χ²=23.786,P<0.05）,obesity（χ²=38.001,p<0.000）,less intake of fruit（χ²=14.833,P<0.05）,less intake of dairy（χ²=25.467,P<0.05）,intake too much of Salted or smoked food（χ²=7.648,P<0.05）.Binary logistic step wise regression analysis suggested that old age（the OR is1.685）,family history of stroke,cardinal infarction,chronic obstructive pulmonary disease,asthma,hypertension,diabetes mellitus（the OR is 1.697、1.331、2.597、3.793、2.610）,obesity（the OR is 1.488）,less intake of fruit（the OR is 1.127）were the risk factors of chronic diseases.income increase（OR is 0.814）,exercise regularly（the OR is 0.713）were the protect factors of chronic diseases.The history of family chronic diseases,overweight or obesity,aging were risk factors affecting hypertension and diabetes,the OR is.（1.652、1.443、1.599、1.359、2.580 and1.559）.high-salt diet and the fruit intake less is a individual risk factors of hypertension（the OR is 1.174 and 1.163）,and high income,regular exercise are protective factor for hypertension（the OR is0.912 and 0.655）.Conclusion:The results showed that the prevalence rates of chronic disease,hypertension and diabetes was 27.41%,22.24%and 7.3%,age-adjusted rate was26.61%,19.46.%and 6.1%.The risk factors of chronic disease were older age,The history of family chronic diseases,obesity and the fruit intake less.The protective factors of chronic disease were higher income and regular exercise.Control and prevent the occurrence and development of the chronic diseases should realized the necessity and the importance to Chronic disease prevention and control,enrolled the chronic disease prevention and control to the agenda of the government’s work,carried out the health education work,establishment of medical health association,Strengthen community prevention and management of people at high risk of chronic disease,improvement of the grassroots health workers service ability...