A study on the relationship between the lifestyle and chronic non-communicable diseases of the landless peasants
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摘要: 目的 调查安徽省某地区农民、失地农民和城市人群罹患慢性非传染性疾病的流行现状,探讨失地农民生活方式与慢性非传染性疾病的联系。方法 采用横断面研究方法,共收集有效问卷761份,其中农民组119份,失地农民组259份,城市组383份。计数资料采用χ2检验,计量资料采用方差分析,对各组人群慢性非传染性疾病发病风险进行Logistic回归分析。结果 三组人群在饮酒、膳食习惯和体力活动等生活方式方面差异有统计学意义(均有P<0.05)。Logistic回归分析表明农民组和失地农民组人群高血压和超重肥胖的发病风险低于城市组。调整混杂因素后,农民组(OR=0.20,95%CI:0.12~0.33)和失地农民组(OR=0.65,95%CI:0.44~0.95)高血压发病风险低于城市组,农民组(OR=0.44,95%CI:0.27~0.74)和失地农民组(OR=0.67,95%CI:0.47~0.96)超重肥胖发病风险低于城市组。农民组(OR=2.48,95%CI:1.45~4.23)和失地农民组(OR=2.00,95%CI:1.33~3.02)动脉粥样硬化发病风险高于城市组。结论 失地农民生活方式不同于农民组与城市组,高血压和超重肥胖发病风险高于农民组。应对失地农民人群采取干预措施,预防慢性非传染性疾病发生发展。Abstract: Objective To investigate the prevalence of chronic non-communicable diseases among farmers, landless peasants and urban population in a certain area of Anhui Province, to explore the relationship between the lifestyles of landless peasants and their chronic non-communicable diseases. Methods A total of 761 valid questionnaires were collected by cross-sectional epidemiological study, including 119 farmers, 259 landless peasants and 383 urban groups. The enumeration data was analyzed by χ2 test and the measurement data analyzed by variance. The risk of chronic non-communicable diseases in each group was analyzed by Logistic regressions. Results General demographic characteristics showed that there were differences in three groups of people in the respects of drinking, eating habits and physical activity and other lifestyles (all P<0.05). Logistic regression analysis showed that the onset risk of hypertension and overweight obesity in the famer group and the landless peasant group was lower than that in the urban group, but higher than that in the peasant group. After adjusting for confounding factors, the prevalence of hypertension in the farmer group (OR=0.20, 95% CI:0.12-0.33) and the lost land group (OR=0.65, 95% CI:0.44-0.95) was lower than that in the urban group, the overweight obesity in the farmer group (OR=0.44, 95% CI:0.27-0.74) and the lost land group(OR=0.67, 95% CI:0.47-0.96)was lower than that in the urban group. The incidence of atherosclerosis in the farmer group(OR=2.48, 95% CI:1.45-4.23) and the lost land group(OR=2.00, 95% CI:1.33-3.02) was higher than that in the urban group. Conclusions The living style of landless peasants is different from those of rural group and urban group, and the incidence of hypertension and overweight obesity is higher than that of farmers. We should take interventions against chronic non-communicable diseases in landless peasants.
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Key words:
- Life style /
- Chronic disease /
- Epidemiologic studies
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