Prevalences and trends of chronic diseases in Shaanxi Province, China: Evidence from representative cross-sectional surveys in 2003, 2008 and 2013.
Prevalences and trends of chronic diseases in Shaanxi Province, China: Evidence from representative cross-sectional surveys in 2003, 2008 and 2013.
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DOI：
10.1371/journal.pone.0202886
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发表时间：
2018
期刊：
影响因子：
3.7
通讯作者：
Chen G
中科院分区：
文献类型：
--
作者：
Lai S;Gao J;Zhou Z;Yang X;Xu Y;Zhou Z;Chen G
非传染性疾病是指非传染性病原体引起的、能够长期持续的慢性疾病，目前被视为中国的一个重大公共卫生问题。本研究旨在估算 2003 年至 2013 年中国陕西省城乡 15 岁及以上城乡人口中自我报告的医生诊断慢性病的患病率，并探讨这些变化在不同亚人群中的差异。陕西省于2003年、2008年和2013年实施了3次独立横断面调查。每波均采用多阶段分层整群随机抽样方法收集代表性样本。此次分析总共包括 2003 年 10,568 名居民、2008 年 15,453 名居民和 2013 年 48,808 名居民。每次调查均通过面对面访谈的方式收集自我报告的医生诊断慢性病的信息。采用具有稳健误差方差的多级泊松回归来计算调整后的患病率，以估计2008年和2013年慢性病与2003年相比的相对变化。2013年，报告患有至少一种慢性病的城乡居民分别为23.9%/22.1%，较2008年和2013年分别为17.0%/15.1%有所增加。 2003年分别为12.8%/10.9%。根据社会人口特征调整后，2013年慢性病患病率明显高于2003年。在研究的慢性病中，高血压和糖尿病的患病率在过去十年中急剧上升。慢性病的增加主要集中在中老年人群。 2003年至2013年，陕西省成年人口慢性病患病率较高，且持续增加。由于人口老龄化程度较高，中国可能面临更大的慢性病负担。应建立国家慢性病监测体系和筛查方案，全面了解慢性病的分布和趋势。
Non-communicable diseases, which can refer to chronic diseases that are not caused by infectious agents and can endure for a long time, are currently regarded as a critical public health problem in China. This study aimed to estimate the prevalences of self-reported physician-diagnosed chronic diseases among urban and rural populations aged 15 years and older in Shaanxi Province, China, during 2003−2013 and explore how these changes differ by subpopulation. Three independent cross-sectional surveys were implemented in 2003, 2008 and 2013 in Shaanxi Province. A multistage stratified cluster random sampling method was used in each wave to collect representative samples. In total, 10,568 residents in 2003, 15,453 in 2008 and 48,808 in 2013 were included in this analysis. Information on self-reported physician-diagnosed chronic diseases was collected using face-to-face interviews in each survey. Multilevel Poisson regression with robust error variance was employed to calculate the adjusted prevalence ratios to estimate the relative change in chronic conditions in 2008 and 2013, compared to that in 2003. In 2013, 23.9%/22.1% of urban/rural residents, respectively, reported having at least one chronic condition, which represents an increase from 17.0%/15.1%, respectively, in 2008 and 12.8%/10.9%, respectively, in 2003. Adjusted for socio-demographic characteristics, the prevalence of chronic diseases was significantly higher in 2013 than that in 2003. Among the chronic diseases studied, the prevalence of hypertension and diabetes has increased dramatically over a decade. The increase in chronic diseases occurred mainly among the middle-aged and elderly. Chronic diseases are highly prevalent and continuously increasing in the adult population in Shaanxi Province from 2003 to 2013. Given its large aging population, China may face a greater chronic disease burden. A national chronic disease surveillance system and screening program should be established to acquire comprehensive information regarding the distribution and trends of chronic diseases.
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