上海市社区成年居民功能性便秘的流行病学调查

沈峰; 周惠清; 陈光榆; 范建高; 宗春华; 王志坚; 张颖; 李定国

Abstract

沈峰,周惠清,陈光榆,范建高,宗春华,王志坚,张颖,李定国.上海市社区成年居民功能性便秘的流行病学调查[J].Chinese journal of Epidemiology,2012,33(3):296-300

上海市社区成年居民功能性便秘的流行病学调查

An epidemiologic study on functional constipation among adult communities in Shanghai

DOI：

KeyWord: 功能性便秘流行病学社区问卷调查

English Key Word: Functional constipation Epidemiology Community Questionnaire investigation

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Author Name	Affiliation	E-mail
SHEN Feng	Department of Gastroenterology, Xinhua Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200092, China
ZHOU Hui-qing	Department of Gastroenterology, Xinhua Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200092, China
CHEN Guang-yu	Clinical Epidemiological Unit, School of Medicine, Shanghai Jiaotong University
FAN Jian-gao	Department of Gastroenterology, Xinhua Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200092, China
ZONG Chun-hua	Department of Gastroenterology, Xinhua Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200092, China
WANG Zhi-jian	Songjiang District Health Board
ZHANG Ying	Songjiang District Health Board
LI Ding-guo	Department of Gastroenterology, Xinhua Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200092, China	dingguo_li@xinhuamed.com.cn

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Abstract:

目的了解上海市松江地区常住成年社区居民功能性便秘(FC)患病率及危险因素.方法采用多级、分层、整群随机抽样法,于2010年4-5月以户为单位对松江区的社区居民进行面访式问卷调查.FC诊断采用罗马Ⅲ标准,用焦虑自评量表(SAS)、抑郁自评量表(SDS)及阿森斯失眠量表(AIS)对精神心理及睡眠质量进行评估.结果调查回收合格问卷7648份,有效率90.0％.共检出FC患者211例,其中男性90例,女性121例.经标化后合计检出率为2.9％,其中男性为2.5％,女性为3.3％.男女检出率比为1∶1.32,差异有统计学意义(P=0.043).18 ～ 29岁组的检出率最高(x²=37.359,P=0.000).FC在正常体重组(x²=16.087,P=0.002)、高等教育组(x²=27.604,P=0.000)、脑力劳动组(x²=6.922,P=0.031)及离婚组(x²=22.000,P=0.000)的患病率高于其他各组.多因素分析显示,喜好高脂肪食物则FC患病风险是对照组的1.253倍(P=0.000),而纤维素饮食具有保护作用(OR=0.854,P=0.029).焦虑(OR=2.583,P=0.000)及失眠(OR=2.443,P=0.000)是FC患病的危险因素.结论松江社区FC的患病率并不高于国内其他地区.高脂肪食物、焦虑及失眠可能是FC患病的危险因素,纤维素饮食则是保护性因素.

English Abstract:

Objective To determine the prevalence and risk factors of functional constipation (FC) by using Rome Ⅲ criteria in the local adult communities.Methods A stratified randomized and community-based study by multi-stage cluster sampling was employed.A household survey was conducted from April to May 2010.All of the participants were interviewed face-to-face by filling out the self-administered questionnaires which based on Rome Ⅲ criteria for the diagnosis of FC.Self-rating anxiety scale (SAS),self-rating depression scale (SDS) and Athens insomnia scale (AIS) were carried out to evaluate the psychological characteristics and qualities of sleep.Results A total of 7648 subjects fulfilled the questionnaires,with the response rate as 90.0％.211 patients met the Rome Ⅲ criteria,including 90 males and 121 females.The adjusted prevalence rates of FC were 2.5％ in males,3.3％ in females and with an overall rate as 2.9％.The ratio of men to women was 1∶1.32,with significant difference between males and females (P=0.043).The most common group was in the 18-29 year-olds (x²=37.359,P=0.000).FC patients were more likely to be detected in the group with normal BMI (x²=16.087,P=0.002),having received high education (x²=27.604,P=0.000),being intelectuals ( x²=6.922,P=0.031 ) and divorced ( x²=22.000,P=0.000) than in other groups. Multivariate analysis showed that excessive intake of high-fat food was significantly associated with the presence of FC (odds ratio as 1.253,P=0.000),whereas foods with high-fiber (odds ratio as 0.854,P=0.029) might serve as protective factors.Significant differences between FC groups and control groups were found in the incidence of anxiety (with odds ratio as 2.583,P=0.000) and insomnia (odds ratio as 2.443,P=0.000).Conclusion The prevalence of FC in adult communities in Shanghai Songjiang district was not higher than that in other parts of the communities.Excessive intake of high-fat food,anxiety and insomnia might be risk factors for FC and foods with high-fiber contents might serve as protective factors.?

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