风湿痛的相关危险因素研究:汕头地区流行病学调查

曾庆馀; 肖征宇; 陈肃标; 陈韧; 林秋强; 王庆文; 黄少弼; 谢素和; 林昆; 许敬才; 张乃峥

Abstract

曾庆馀,肖征宇,陈肃标,陈韧,林秋强,王庆文,黄少弼,谢素和,林昆,许敬才,张乃峥.风湿痛的相关危险因素研究:汕头地区流行病学调查[J].Chinese journal of Epidemiology,2005,26(9):711-715

风湿痛的相关危险因素研究:汕头地区流行病学调查

Study on the associated risk factors of rheumatic pain： A ILAR-China, WHO COPCORD Shantou study

Received:December 09, 2004

DOI：

KeyWord: 风湿痛流行病学相关危险因素

English Key Word: Rheumatic complaints Epidemiology Associated risk factors

FundProject:国际抗风湿联盟(ILAR)亚太地区风湿病学会联合会(APLAR)广东省教育厅、广东省卫生厅科研基金资助项目(9306,A1998396)

Author Name	Affiliation
ZENG Qing-yu	Department of Rheumatology, the First Affiliated Hospital of Shantou University Medical College, Shantou 515041,China
XIAO Zheng-yu	Department of Rheumatology, the First Affiliated Hospital of Shantou University Medical College, Shantou 515041,China
CHEN Su-biao	Department of Rheumatology, the First Affiliated Hospital of Shantou University Medical College, Shantou 515041,China
CHEN Ren	广东省澄海市人民医院
LIN Qiu-qiang	广东省澄海市人民医院
WANG Qing-wen	Department of Rheumatology, the First Affiliated Hospital of Shantou University Medical College, Shantou 515041,China
HUANG Shao-bi	Department of Rheumatology, the First Affiliated Hospital of Shantou University Medical College, Shantou 515041,China
XIE Su-he	Department of Rheumatology, the First Affiliated Hospital of Shantou University Medical College, Shantou 515041,China
LIN Kun	卫生学研究室
XU Jing-cai	广东省澄海市人民医院
ZHANG Nai-zheng	中国医学科学院中国协和医科大学北京协和医院

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Abstract:

目的验证中国南、北方风湿痛患病率是否存在差异,探讨风湿痛的相关危险因素。方法采用中国-国际抗风湿联盟(ILAR-China)协作的风湿病流行病学调查或COPCORD的程序,分别于1987、1992、1995和1999年对4个人群16岁以上成人共10638人进行调查,收集分析有关风湿痛资料。结果 4次调查风湿痛患病率分别为11.6%、12.5%、16.0%和19.8%。虽然十多年来风湿痛患病率有所升高,但仍显著低于北京1987年ILAR-China调查的结果。最常见的受累部位是腰,其次为膝和颈;腰痛多见于农村居民,颈痛则多见于教师人群;无电梯的楼房居民膝痛患病率显著高于平房居民;本地区人群骨密度峰值高于包括北京在内的13省市;风湿痛患病率高的人群求医意识较强,但各人群残疾率的差异无统计学意义。结论汕头地区风湿痛患病率低于北京市;社会经济环境、纬度、性别、年龄、职业、人体功效学、营养、骨密度以及求医意识等,可能是风湿痛的相关危险因素。

English Abstract:

Objective To validate the difference on the prevalence of rheumatic symptoms between north and south parts of the country and to study the associated risk factors of rheumatic complaints in Shantou city, China. Methods A total number of 10 638 people at above 16 years of age from four samples, were surveyed in 1987,1992, 1995,and 1999. Protocol of International League Against Rheumatism(ILAR)-China collaborative study or WHO-ILAR community oriented program for control of rheumatic disease(COPCORD) core questionnaire was implemented. Data on related rheumatic symptoms were collected and analyzed. Results The prevalence rate of rheumatic complaints had been increasing in Shantou area during the last decade (in 1987 11.6%,1992 12.5%, 1995 16.0% and 1999 19,8%) but still lower than that seen in Beijing, China in 1987(40.0%). Rheumatic symptoms were more prevalent in females than in males,in elderly than in young people with most frequently involved site happened in low back area,followed by knee and neck. Lumbar pain was more frequent among rural residents, while neck pain was more prevalent in urban school students. Prevalence of knee pain was significantly higher in people living in multi-storey buildings without elevator than those living in single-storey houses. The peak values of Bone Mineral Density in Shantou population were (0 ? 839 土 0 ? 085) g/cm2 in men, and (0.723 土 0 ? 064) g/cm2 in women,significantly higher than that reported in 13 other provinces and cities including Beijing.The sense of seeking for medical help was higher in population with higher prevalence of rheumatic symptoms than that in lower complaints group. However,no significant difference was found in the rates of disability among the different populations. Conclusion The prevalence rate of rheumatic complaints was lower in Shantou than that in Beijing. Socio-economic status,environment,sex,age,occupation,ergonomics, bone mineral density,and awareness of seeking medical care might have been the associated risk factors to the prevalence of rheumatic complaints.

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