南水北调中线工程水源区内迁移民慢性病疾病谱及影响因素
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摘要
目的:了解南水北调中线工程水源区内迁移民慢性病患病情况和疾病分布,分析其影响因素。方法:采用多阶段随机分层抽样法,于2016年7月对水源区就地后靠的330名移民和385名非移民进行问卷调查,分析移民慢性病患病情况和疾病分布,分析移民慢性病患病影响因素。结果:非移民慢性病患病率为35. 32%(136/385);移民为47. 58%(157/330),高于非移民(P <0. 001)。移民和非移民患病率居于前5位的慢性病均依次为腰腿疼、高血压、胃炎、心脏病和气管炎。移民腰腿疼、高血压和胃炎患病率均高于非移民(P <0. 05)。女性、60岁以上、小学及以下文化程度、职业为农民或其他、对家庭收入不满意的移民慢性病患病率高于非移民(P <0. 05)。Logistic回归分析结果显示,年龄在18～60岁(OR=1. 494,95%CI=1. 249～1. 787)、60岁以上(OR=2. 272,95%CI=1. 520～3. 369),职业为工人(OR=1. 494,95%CI=1. 249～1. 787)或其他职业(OR=1. 483,95%CI=1. 619～3. 554),家庭收入一般(OR=1. 299,95%CI=1. 240～1. 468)或不满意(OR=1. 479,95%CI=1. 309～1. 635)是移民慢性病患病的危险因素,文化程度为初中(OR=0. 522,95%CI=0. 286～0. 742)或高中及以上(OR=0. 751,95%CI=0. 340～0. 950)是保护因素。结论:内迁移民慢性病患病率处于较高水平,有关部门应优化移民安置政策,提高移民健康水平。
Aim: To understand the prevalence and influencing factors of chronic diseases among the emigrants from the water source area of the Middle Route of the South-to-North Water Transfer Project. Methods: A multistage random stratified sampling method was used to survey 330 emigrants and 385 non-emigrants in resettlement sites in July 2016. The prevalence and influencing factors of chronic diseases were analyzed. Results: The prevalence of chronic diseases in nonemigrants was 35. 32%( 136/385),and those in emigrants was 47. 58%( 157/330),which was higher than the former( P <0. 05). The top five chronic diseases among the emigrants and non-emigrants prevalence were waist and leg pain,hypertension,gastritis,heart disease and bronchitis,and the prevalence of waist and leg pain,hypertension,and gastritis in emigrants was higher than that in the non-emigrants( P < 0. 05). The prevalence of chronic diseases in emigrants with female,over 60 years old,graduated from elementary school or below,peasants and other occupations,and dissatisfaction with family income was higher than that in non-emigrants( P < 0. 05). Logistic regression analysis showed that for emigrants,the age ranged from 18 to 60 years( OR = 1. 494,95% CI = 1. 249-1. 787),above 60 years( OR = 2. 272,95% CI = 1. 520-3. 369),worker( OR = 1. 494,95% CI = 1. 249-1. 787) or other occupations( OR = 1. 483,95% CI = 1. 619-3. 554),average family income( OR = 1. 299,95% CI = 1. 240-1. 468) or unsatisfied( OR = 1. 479,95% CI = 1. 309-1. 635) were the risk factors of chronic disease,while the education level of junior high school( OR = 0. 522,95% CI = 0. 286-0. 742) or high school( OR = 0. 751,95% CI = 0. 340-0. 950) were the protective factors. Conclusion: The prevalence of chronic diseases in emigrants is at a high level. Relevant departments should optimize the resettlement policies and improve the health status of emigrants.
Aim: To understand the prevalence and influencing factors of chronic diseases among the emigrants from the water source area of the Middle Route of the South-to-North Water Transfer Project. Methods: A multistage random stratified sampling method was used to survey 330 emigrants and 385 non-emigrants in resettlement sites in July 2016. The prevalence and influencing factors of chronic diseases were analyzed. Results: The prevalence of chronic diseases in nonemigrants was 35. 32%( 136/385),and those in emigrants was 47. 58%( 157/330),which was higher than the former( P <0. 05). The top five chronic diseases among the emigrants and non-emigrants prevalence were waist and leg pain,hypertension,gastritis,heart disease and bronchitis,and the prevalence of waist and leg pain,hypertension,and gastritis in emigrants was higher than that in the non-emigrants( P < 0. 05). The prevalence of chronic diseases in emigrants with female,over 60 years old,graduated from elementary school or below,peasants and other occupations,and dissatisfaction with family income was higher than that in non-emigrants( P < 0. 05). Logistic regression analysis showed that for emigrants,the age ranged from 18 to 60 years( OR = 1. 494,95% CI = 1. 249-1. 787),above 60 years( OR = 2. 272,95% CI = 1. 520-3. 369),worker( OR = 1. 494,95% CI = 1. 249-1. 787) or other occupations( OR = 1. 483,95% CI = 1. 619-3. 554),average family income( OR = 1. 299,95% CI = 1. 240-1. 468) or unsatisfied( OR = 1. 479,95% CI = 1. 309-1. 635) were the risk factors of chronic disease,while the education level of junior high school( OR = 0. 522,95% CI = 0. 286-0. 742) or high school( OR = 0. 751,95% CI = 0. 340-0. 950) were the protective factors. Conclusion: The prevalence of chronic diseases in emigrants is at a high level. Relevant departments should optimize the resettlement policies and improve the health status of emigrants.
引文
[1]张书敏,谭琳琳,郭朝阳,等.丹江口库区脆弱期移民心理社会应激状况调查[J].郑州大学学报(医学版),2014,49(5):693
[2]崔诗雨,徐定德,彭立,等.三峡库区就地后靠移民与原住民生计资本特征及差异分析:以重庆市万州区为例[J].西南师范大学学报(自然科学版),2016,41(8):80
[3]慕晓,田庆丰,孙锦峰,等.丹江口库区过渡期移民卫生服务需求及利用状况调查[J].中华疾病控制杂志,2014,18(2):155
[4]秦敬柱,袁长海,刘保锋,等.山东省三峡移民健康状况及影响因素分析[J].中国公共卫生,2010,26(9):1138
[5]漆莉,丁贤彬,毛德强,等.三峡库区18岁及以上居民高血压患病率及影响因素分析[J].重庆医科大学学报,2011,36(12):1513
[6]王乐群,张蕃,张桂林,等.宜昌市夷陵区农村居民慢性病患病及影响因素分析[J].中国公共卫生,2012,28(7):898
[7]梁小云,屈亚莉,屈克义,等.三峡坝区35岁以上移民和非移民2型糖尿病患病率及其相关因素[J].中华预防医学杂志,2012,46(8):697
[8]屈亚莉,谭素芳,袁双双,等.三峡农村地区高血压流行及防治现状[J].中华心血管病杂志,2011,39(9):861
[9]郭杰,余灿清,吕筠,等.中国10个地区人群高血压患病率、知晓率、治疗率和控制情况分析[J].中华高血压杂志,2017,37(3):469
[10]杨辉,胡华,蒙华庆,等.三峡库区就地后靠移民心理健康及社会支持、应付方式研究[J].重庆医科大学学报,2010,35(2):289
[2]崔诗雨,徐定德,彭立,等.三峡库区就地后靠移民与原住民生计资本特征及差异分析:以重庆市万州区为例[J].西南师范大学学报(自然科学版),2016,41(8):80
[3]慕晓,田庆丰,孙锦峰,等.丹江口库区过渡期移民卫生服务需求及利用状况调查[J].中华疾病控制杂志,2014,18(2):155
[4]秦敬柱,袁长海,刘保锋,等.山东省三峡移民健康状况及影响因素分析[J].中国公共卫生,2010,26(9):1138
[5]漆莉,丁贤彬,毛德强,等.三峡库区18岁及以上居民高血压患病率及影响因素分析[J].重庆医科大学学报,2011,36(12):1513
[6]王乐群,张蕃,张桂林,等.宜昌市夷陵区农村居民慢性病患病及影响因素分析[J].中国公共卫生,2012,28(7):898
[7]梁小云,屈亚莉,屈克义,等.三峡坝区35岁以上移民和非移民2型糖尿病患病率及其相关因素[J].中华预防医学杂志,2012,46(8):697
[8]屈亚莉,谭素芳,袁双双,等.三峡农村地区高血压流行及防治现状[J].中华心血管病杂志,2011,39(9):861
[9]郭杰,余灿清,吕筠,等.中国10个地区人群高血压患病率、知晓率、治疗率和控制情况分析[J].中华高血压杂志,2017,37(3):469
[10]杨辉,胡华,蒙华庆,等.三峡库区就地后靠移民心理健康及社会支持、应付方式研究[J].重庆医科大学学报,2010,35(2):289