文章摘要
李婧辰,张梅,李镒冲,段晓丽,王丽敏.我国40岁及以上人群慢性呼吸系统疾病症状流行现况及影响因素研究[J].中华流行病学杂志,2018,39(6):786-791
我国40岁及以上人群慢性呼吸系统疾病症状流行现况及影响因素研究
Prevalence and influencing factors of respiratory symptoms among people aged 40 years and above in China
投稿时间:2018-01-16  
DOI:10.3760/cma.j.issn.0254-6450.2018.06.018
中文关键词: 咳嗽;咳痰;流行率;影响因素
英文关键词: Coughing;Expectoration;Prevalence;Influencing factors
基金项目:
作者单位E-mail
李婧辰 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控制中心监测室  
张梅 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控制中心监测室  
李镒冲 100191 北京大学临床研究所  
段晓丽 100083 北京科技大学  
王丽敏 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控制中心监测室 wanglimin@ncncd.chinacdc.cn 
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中文摘要:
      目的 了解我国≥ 40岁人群慢性呼吸系统疾病症状(咳嗽、咳痰、持续性咳嗽和持续性咳痰)的流行现况,并探讨其影响因素。方法 2010年中国慢性病及其危险因素监测项目在31个省(自治区、直辖市)和新疆生产建设兵团开展的162个监测点,采用多阶段整群随机抽样方法,选取其中≥ 40岁人群56 066名作为研究对象。对样本进行复杂加权后分性别计算咳嗽、咳痰、持续性咳嗽和持续性咳痰的流行率,并用χ2检验进行比较组间差异,采用多因素logistic回归模型分析其影响因素。结果 2010年我国≥ 40岁人群中,男性的咳嗽率、持续性咳嗽率、咳痰率和持续性咳痰率均显著高于女性(P<0.01);慢性呼吸系统症状流行率与年龄、烟龄和吸烟量呈正相关(P<0.01),与文化程度呈负相关(P<0.01)。多因素logistic回归分析显示性别、年龄、文化程度、吸烟、地区、城乡是慢性呼吸系统疾病症状流行的影响因素。结论 我国≥ 40岁人群慢性呼吸系统疾病症状普遍流行,主要危险因素为年龄、地区以及吸烟。
英文摘要:
      Objective To investigate the prevalence and influencing factors on respiratory disease related symptoms (coughing, expectoration, persistent coughing and persistent expectoration) in Chinese people ≥ 40 years old.Methods Data was collected from 162 surveillance points in the China Non-communicable and Chronic Disease Surveillance Project in 2010. A total number of 56 066 people, aged ≥ 40 years, were selected by multi-stage cluster random sampling method in this study. The prevalence rates of coughing, expectoration, persistent coughing and persistent expectoration were calculated according to gender by χ2 test. Multivariate logistic regression model was used to analyze the related influencing factors.Results The prevalence rates of coughing, persistent coughing, expectoration and persistent expectoration in men were significantly higher than that in women (P<0.01). The prevalence rate of respiratory symptoms was positively correlated with age and duration and amount of cigarette smoking (P<0.01), while negatively correlated with participants' education level (P<0.01).Results from multivariate logistic regression analysis showed that gender, age, education level, smoking-related parameters, areas of residency (in urban or rural areas), etc. were appeared as influencing factors on the prevalence of respiratory symptoms.Conclusion The symptoms of chronic respiratory diseases appeared prevalent in Chinese population aged ≥ 40 years. Factors as older age, living in the central/western regions and smoking-related parameters were identified as of higher risks.
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