文章摘要
高星星,王丽敏,张笑,赵振平,李纯,黄正京,刘晨一,于宁,张宇姝,邓晓庆,张梅.2018年中国成年居民体重和腰围知晓状况及影响因素分析[J].中华流行病学杂志,2022,43(8):1205-1214
2018年中国成年居民体重和腰围知晓状况及影响因素分析
Awareness and influencing factors on weight and waist circumference among adult Chinese residents in 2018
收稿日期:2021-11-29  出版日期:2022-08-13
DOI:10.3760/cma.j.cn112338-20211129-00924
中文关键词: 腰围  体重  影响因素
英文关键词: Waist circumference  Weight  Influencing factors
基金项目:国家重点研发计划(2018YFC1311702)
作者单位E-mail
高星星 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050
包头医学院公共卫生学院, 包头 014040 
 
王丽敏 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050
中国医科大学公共卫生学院卫生统计学教研室, 沈阳 110122 
 
张笑 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050  
赵振平 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050  
李纯 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050  
黄正京 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050  
刘晨一 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050
包头医学院公共卫生学院, 包头 014040 
 
于宁 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050  
张宇姝 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050
中国医科大学公共卫生学院卫生统计学教研室, 沈阳 110122 
 
邓晓庆 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050
中国医科大学公共卫生学院卫生统计学教研室, 沈阳 110122 
 
张梅 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室, 北京 100050 zhangmei@ncncd.chinacdc.cn 
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中文摘要:
      目的 了解我国≥18岁居民体重和腰围知晓率及其影响因素,为制定相关防治政策和干预效果评价提供参考。方法 2018年中国慢性病及危险因素监测在全国31个省(自治区、直辖市)的298个县(区),采用多阶段分层整群随机抽样方法抽取≥18岁常住居民194 779人,通过问卷调查和身体测量获取研究对象人口学特征。本研究将完成调查且体重和腰围知晓信息完整的179 045人作为研究对象,以性别分层,年龄、城乡、文化程度等分组计算体重和腰围知晓率。采用多因素logistic回归模型,分析≥18岁居民体重、腰围知晓情况相关的影响因素。结果 2018年我国成年居民体重知晓率为45.4%(95%CI:41.9%~48.9%),男性[46.2%(95%CI:42.5%~49.8%)]高于女性[44.6%(95%CI:41.1%~48.2%)],城市[54.3%(95%CI:49.3%~59.3%)]高于农村[35.8%(95%CI:32.1%~39.4%)],低体重居民体重知晓率最高[49.9%(95%CI:44.3%~55.6%)],中心性肥胖、高血压、糖尿病未确诊居民体重知晓率均高于确诊居民,差异有统计学意义(P<0.05)。成年居民腰围知晓率为11.6%(95%CI:9.7%~13.4%),女性[12.8%(95%CI:10.8%~14.8%)]高于男性[10.3%(95%CI:8.6%~12.0%)],城市[14.6%(95%CI:11.7%~17.4%)]高于农村[8.3%(95%CI:6.5%~10.2%)],糖尿病确诊居民腰围知晓率高于未确诊居民,差异有统计学意义(P=0.020)。体重和腰围知晓率均随文化程度、家庭人均年收入的增加呈上升趋势,差异有统计学意义(P<0.001)。多因素logistic回归分析提示我国城市、文化程度高、家庭人均年收入高和进行健康体检的居民可能拥有较高的体重和腰围知晓率。结论 我国成年居民中知晓自身体重状况者不到一半,知晓腰围者仅有约十分之一。农村、文化程度和家庭人均年收入低以及肥胖居民需要重点关注。政府有关部门应加强普及体重、腰围对身体健康的重要性,提高我国居民对自身腰围和体重的认识情况。
英文摘要:
      Objective To understand the awareness of weight and waist circumference and their influencing factors among residents aged ≥ 18 years in China and provide a reference for the development of relevant prevention and treatment policies and evaluation of intervention effects.Methods We selected 298 counties (districts) from the 31 provinces (autonomous regions and municipalities) which participated in the 2018 China Chronic Disease and Risk Factor Surveillance program and included 194 779 permanent residents aged ≥ 18 years. To obtain the demographic characteristics of the study population, we used a multi-stage stratified whole-group random sampling method, questionnaires, and physical measurements. In this study, 179 045 people who completed the survey and had complete information on weight and waist circumference awareness were used as the study subjects. The weight awareness rate and waist circumference awareness rate were calculated by gender stratification, age, urban-rural, and education level groups. A multi-factor logistic regression model was used to analyze the influencing factors related to weight and waist circumference awareness of residents aged ≥ 18 years. Results The weight awareness rate of adult residents in China in 2018 was 45.4% (95%CI:41.9%-48.9%), higher among men[46.2% (95%CI:42.5%-49.8%)] than women[44.6% (95%CI:41.1%-48.2%)], and in urban areas[54.3% (95%CI:49.3%-59.3%)]. The highest weight awareness rate appeared in residents with low BMI grouping[49.9% (95%CI:44.3%-55.6%)], and the weight awareness rate in residents with undiagnosed central obesity, hypertension, and diabetes was higher than that of residents with diagnosed diabetes, with statistically significant differences (P<0.05). The waist circumference awareness rate of adult residents was 11.6% (95%CI:9.7%-13.4%), higher in women[12.8% (95%CI:10.8%-14.8%)] than in men[10.3% (95%CI:8.6%-12.0%)], higher in urban[14.6% (95%CI:11.7%-17.4%)] than in rural[8.3% (95%CI:6.5%-10.2%)], and the waist circumference awareness rate was higher among residents with confirmed diabetes than those with undiagnosed diabetes, with statistically significant differences (P=0.020). The difference was statistically significant (P<0.001). The weight and waist circumference awareness rate increased with education level and annual per capita household income. Multi-factor logistic regression analysis suggested that urban, highly educated, high per capita annual household income and health check-up residents may have higher weight and waist circumference awareness rates among adult residents in China.Conclusion Less than half of the adult residents in China know their weight status, and only about one-tenth know their waist circumference. Rural residents, those with low education levels and low annual per capita household income, and those who are obese need to be given prioritized attention. The relevant government departments should strengthen the popularization of the importance of weight and waist circumference on health and improve the awareness of our residents about their waist circumference and weight.
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