A study on the prevalence of chronic diseases and risk factors control among the elderly of community health management in Zhejiang Province / 预防医学

ABSTRACT

Objective To learn the prevalence of chronic diseases and risk factors control among the elderly of community health management in Zhejiang Province.Methods The elderly residents over 60 years of urban areas in Zhejiang Province were investigated through multi-stage stratified sampling,and key health examination information in year 2015 of respondents was collected.The prevalence of chronic diseases and risk factors control were analyzed among the respondents who had accepted community elderly health management.Results Among 1 215 elderly who accepted community health management,self-reported prevalence rate of common chronic diseases was 84.36％,with hypertension 60.66％,cataract 21.32％ and diabetes 20.58％.The control rates of hypertension and diabetes were 64.04％ and 60.00％,respectively.The proportions of light weight,normal weight,overweight and obesity were 3.51％,50.04％,35.51％ and 10.94％ respectively.The prevalence rate of central obesity was 54.75％,female (59.00％) higher than male (48.47％) (P ＜ 0.001).The proportions of normal,borderline high and abnormal total cholesterol (TC) were 66.75 ％,23.95％ and 9.30％ respectively.The proportions of normal,borderline high and abnormal triglyceride (TG) were 65.73％,17.05％ and 17.22％ respectively.The proportions of normal TC and TG were both lower in female (both 61.94％) than those in male (TC74.07％、TG71.52％) (P ＜ 0.05).The prevalence rates of hypertension (OR =1.41,95％ CI1.11-1.79),cataract (OR =2.19,95％ CI1.65-2.91),coronary heart disease (OR =1.59,95％ CI1.14-2.21)and cerehmvascular disease (OR =2.06,95 ％ CI1.29-3.30)were significantly increased in the 75 years group than that in the 60-74 years group.The prevalence of cerehrovascular disease in elderly men in the age group of 60 -74 (OR =1.73,95％ CI1.09-2.75) and chronic obstructive pulmonary disease (OR =2.41,95％ CI1.04-5.59) were higher than that in female,while the prevalence of rheumatoid arthritis (OR =0.54,95％CI0.35-0.84)were lower than that in male.Conclusion Among the elderly who accepted community health management,the prevalence rate of chronic diseases is similar with the general elderly population in Zhejiang Province.Female central obesity and blood lipids control should be strengthened in the community.