| 张周斌,薛振香,马蒙蒙,利耀辉,罗冬梅,宋雪莲,晁先锋,王岗,乃孜班木·努尔麦麦提,阿依夏穆姑丽·巴吾顿,苏莱曼·麦海提,吴雪霁,周自严,孙宝山,王玉忠,王鸣.新疆喀什地区维吾尔族人群慢性病相关知识、态度和行为现状调查及影响因素分析[J].中华流行病学杂志,2017,38(6):715-720 |
| 新疆喀什地区维吾尔族人群慢性病相关知识、态度和行为现状调查及影响因素分析 |
| Knowledge, attitude and practice to chronic diseases and associated influencing factors in Uygur population in Kashgar area of Xinjiang Uygur Autonomous Region |
| 收稿日期:2017-01-11 出版日期:2017-06-19 |
| DOI：10.3760/cma.j.issn.0254-6450.2017.06.005 |
| 中文关键词: 维吾尔族 慢性病 KAP 高血压 糖尿病 影响因素 |
| 英文关键词: Uygur Chronic disease Knowledge,attitude and practice Hypertension Diabetes Influencing factor |
| 基金项目:国家科技重大专项（2012ZX10004213005）；广州市医学重点学科建设项目（2017-2019-07）；广东省科技计划项目（2014A020209006） |
| 作者 | 单位 | E-mail | | 张周斌 | 510440 广州市疾病预防控制中心主任室 | | | 薛振香 | 844100 喀什, 疏附县疾病预防控制中心免疫规划股 | | | 马蒙蒙 | 510440 广州市疾病预防控制中心基层公共卫生部 | | | 利耀辉 | 510440 广州市疾病预防控制中心基层公共卫生部 | | | 罗冬梅 | 844100 喀什, 疏附县疾病预防控制中心免疫规划股 | | | 宋雪莲 | 844100 喀什, 疏附县疾病预防控制中心免疫规划股 | | | 晁先锋 | 844100 喀什, 疏附县疾病预防控制中心免疫规划股 | | | 王岗 | 844100 喀什, 疏附县卫生局 | | | 乃孜班木·努尔麦麦提 | 844100 喀什, 疏附县疾病预防控制中心免疫规划股 | | | 阿依夏穆姑丽·巴吾顿 | 844100 喀什, 疏附县疾病预防控制中心免疫规划股 | | | 苏莱曼·麦海提 | 844100 喀什, 疏附县疾病预防控制中心免疫规划股 | | | 吴雪霁 | 510440 广州市疾病预防控制中心基层公共卫生部 | | | 周自严 | 510440 广州市疾病预防控制中心免疫规划部 | | | 孙宝山 | 844100 喀什, 广东省对口支援新疆工作前方指挥部人事教育处
510060 广州, 广东省卫生和计划生育委员会疾病预防控制处 | | | 王玉忠 | 844100 喀什, 疏附县卫生局 | | | 王鸣 | 510440 广州市疾病预防控制中心主任室 | wangming@gzcdc.org.cn |
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| 中文摘要: |
| 目的 对新疆喀什地区疏附县维吾尔族人群慢性病相关知识、态度和行为（KAP）现状进行调查，并分析相关影响因素，为制定符合民族特色的慢性病综合防治策略提供基础资料。方法 采用分层整群抽样方法，抽取疏附县18岁及以上维吾尔族常住居民进行问卷调查、体格检查和生化指标检测，计算KAP水平，并采用logistic回归模型分析影响因素。结果 共纳入研究对象4 772人，维吾尔族人群慢性病相关基础知识知晓率在4.32%～56.04%之间，预防控制措施态度得分率在1.76%～85.18%之间，预防控制活动行为参加率在4.00%～97.99%之间。KAP总得分平均（15.90±4.20）分，及格率为47.86%。多因素分析发现KAP总得分及格率随文化程度提高而升高。购买过商业保险、患有高血压、有常见慢性病家族史、女性以及腹型肥胖等因素与KAP总得分存在正相关；超重与KAP总得分呈负相关。结论 新疆喀什地区维吾尔族人群慢性病相关知识、态度和行为水平总体不高，迫切需要在该地区持续开展有针对性的慢性病防治健康教育和健康促进活动，应重点关注文化程度低、收入低、BMI超重及男性人群。 |
| 英文摘要: |
| Objective To investigate the knowledge, attitude and practice (KAP) to chronic diseases and associated influencing factors in Uygur adults in Kashgar of southern Xinjiang, and provide basic information for developing ethnic specific prevention and control strategies for chronic diseases. Methods With stratified cluster random sampling, investigations, including questionnaire survey, physical examination and laboratory tests were performed among local residents who were aged ≥ 18 years and selected in Shufu county in southern Xinjiang. KAP scores were calculated and unconditional logistic regression models were used to analyze influencing factors. Results A total of 4 772 Uygur adults were surveyed. The awareness rate of chronic disease related knowledge ranged from 4.32% to 56.04%, while the awareness rate of preventive measures were from 1.76% to 85.18% and the participation rate of prevention program varied from 4.00% to 97.99%. The average KAP score was 15.90±4.20 and the rate of total KAP was 47.86%. Multi-factor analysis suggested the pass rate of total KAP score increased with educational level. Other factors positively associated with ‘KAP score pass rate’ were commercial insurance investment, hypertension, family history of common chronic diseases, female and abdominal obesity, while overweight was negatively associated with the KAP score pass rate. Conclusions The KAP level on chronic diseases was low in Uygur adults in Kashgar. It is necessary to continuously implement ethnic targeted health education and health promotion campaigns, especially in low education level, low income level, overweight and male groups. |
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