华南预防医学 ›› 2014, Vol. 40 ›› Issue (2): 127-131.doi: 10.13217/j.scjpm.2014.0127

• 论著 • 上一篇    下一篇

广州市六榕社区居民慢性病患病现况及知信行调查

李洁菡,陈健英,陈威峻,杨丽贞   

  1. 广州市越秀区六榕街社区卫生服务中心,广东 广州 510170
  • 收稿日期:2013-08-12 出版日期:2014-04-20 发布日期:2014-04-22
  • 通讯作者: 陈威峻 E-mail:893379736@qq.com
  • 作者简介:李洁菡(1979—),女,大学本科,主管医师,主要从事疾病预防控制工作

Prevalence, knowledge, attitudes, and practices of chronic diseases among residents in Liurong Community, Guangzhou City

LI Jie-han, CHENG Jian-ying, CHENG Wei-Jun, YANG Li-zhen.   

  1. Liurong Community Health Services Center, Yuexiu District, Guangzhou 510170,China
  • Received:2013-08-12 Online:2014-04-20 Published:2014-04-22

摘要: 目的 了解广州市六榕社区居民慢性病的患病现况以及居民的知信行情况,为制定有效的社区慢性病防治措施提供科学依据。方法 资料来自2009年进行的“广州市社区卫生诊断”入户调查工作中六榕社区的调查数据。在广州市六榕社区随机抽取8个居委会,每个居委会随机抽取100户进行问卷调查,调查内容包括一般人口学特征与家庭一般状况、慢性疾病与行为危险因素状况、相关疾病情况等,其中知信行部分由15岁及以上人群作答。结果 共调查居民2 252人,其中男性1 090人,女性1 162人,年龄12~85岁。居民慢性病患病率为30.91%(696/2 252),标化患病率为22.83%,其中≥65岁居民的慢性病患病率为71.95%(413/574),标化患病率为54.08%;随着年龄的增加,慢性病患病率呈上升趋势(P<0.01)。患病率居前5位的慢性病分别为:高血压19.63%(442/2 252)、糖尿病6.08%(137/2 252)、冠心病2.40%(54/2 252)、高血脂1.82%(41/2 252)、脑卒中1.55%(35/2 252)。15岁及以上人群的知信行调查结果显示:慢性病患者与非慢性病患者在社区参加卫生知识讲座的行为率分别为16.67%(115/690)、8.84%(118/1 335),差异有统计学意义(P<0.01);慢性病患者的高血压相关知识知晓率均高于非慢性病患者(均P<0.01);慢性病患者的自我血压知晓率、自我监测与经常主动获取保健知识的行为率均高于非慢性病患者(P<0.01);非慢性病患者的吸烟率与不参加运动行为率均高于慢性病患者,而戒烟率则明显低于慢性病患者,差异均有统计学意义(均P<0.01)。结论 广州市六榕社区居民的慢性病患病率较高,且慢性病患者患病后才注重控制危险因素。今后应把慢性病防控对象扩大到健康人群范围,提高全人群的慢性病防控意识。

Abstract: Objective To understand the pathogen characters and change variation trend of viral diarrhea in Guangdong Province and to provide reference for prevention and control of viral diarrhea.Methods Twenty-three sentinel hospitals were collected from 11 cities in Guangdong Province.Every sentinel hospital collected at least 3 stool samples of diarrhea outpatients aged 5 and below and above 5 years, respectively, for rotavirus and norovirus detection.Results A total of 4 644 specimens of diarrhea cases were collected from 23 sentinel hospitals in 2012 in Guangdong Province.Positive rates of rotavirus and norovirus were 13.94% (645/4627) and 22.14% (1028/4644), respectively.The rotavirus-positive rate of cases aged 5 and below (18.60%)was significantly higher than that above 5 years (8.95%) (P<0.01).The norovirus-positive rates had no significant difference between cases aged 5 and below (21.88%) and those above 5 years (22 41%) (P>0.05).The highest rotavirus-positive rate (41 50%, 105/253) presented in January The highest norovirus-positive rate (40.15%, 218/543) was in October.Of 226 specimens randomly selected from 1 028 norovirus-positive ones for gene sequenced, 203 belonged to GII genotype and 23 belong to GI genotype.Among 203 GII genotype strains, 172 were GII-4 genotype (87 as GII.4 Sydney 2012 genotype, 78 as GII.4 2006 b genotype, 4 as GII.4 2010 gonotype, and 3 as unsubtyped).Conclusion The dominant virus of viral diarrhea was norovirus in Guangdong Province in 2012 and relevant to the emergence of GII-4 Sydney 2012 strain.

中图分类号: 

  • R19