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September 2020, Volume 23,No25 Abstracts(B)

Prevalence of Coronary Heart Disease among Community Diabetic Patients and Its Influencing Factors in Dongcheng District of Beijing ZHANG Hongbo1,JIAO Pengcheng2,YIN Xiangsha3,WANG Fengwei3,WANG Peihua4*,YANG Xinghua3*
1.Department of General Practice,Fu Xing Hospital,Capital Medical University,Beijing 100038,China
2.The Second Outpatient Department,Jidong Branch of HeBei Prison Administrative Bureau,Tangshan 063000,China
3.Department of Epidemiology and Biostatistics,School of Public Health,Capital Medical University,Beijing 100069,China
4.Information Center,Community Health Management Center,Dongcheng District,Beijing 100010,China
*Corresponding authors:WANG Peihua,Associate chief physician;E-mail:wangpeihua2013@126.com
YANG Xinghua,Associate professor;E-mail:xinghuay@sina.com
【Abstract】 Background The prevalence of diabetes and coronary heart disease(CHD) in China is increasing year by year,and diabetic patients often also have CHD. Comprehensive interventions at the community level for multiple risk factors are effective measures to reduce the prevalence and slow down the development of chronic diseases. However,there are few studies on the prevalence and influencing factors of CHD among diabetic patients,and the relevant behavioral factors need to be further clarified. Objective Through analyzing the prevalence of CHD among diabetic patients in Dongcheng District of Beijing,to explore relevant behavioral factors of CHD among community diabetic patients,so as to provide scientific basis for further prevention and treatment of CHD among community diabetic patients. Methods The data of 9 260 diabetic patients recorded in the Community Health Service Platform System in Dongcheng District in 2014 were collected,and the patients were divided into CHD group and non-CHD group according to whether they had CHD. The prevalence and distribution characteristics of CHD were analyzed. Age,gender,overweight or obesity,history of hypertension,and lifestyle behaviors were compared between two groups. Logistic stepwise regression analysis was used to analyze the influencing factors of CHD among diabetic patients. Results In 2014,the prevalence of CHD among diabetic patients in Dongcheng District of Beijing was 49.10%(4 547
/9 260). The patients with reasonable diet accounted for 5.27%(488/9 260),and the patients with more comprehensive physical activity classification accounted for 9.49%(879/9 260). The prevalence of CHD among diabetic patients with different status of overweight or obesity,history of hypertension,average daily staple food intake,average daily fruit intake,daily water intake and comprehensive physical activities was different(P<0.05).The results of Logistic regression analysis showed that age,gender,history of hypertension,average daily fruit intake and comprehensive physical activities were the influencing factors of CHD(P<0.05). Conclusion The prevalence of CHD among community diabetic patients is higher in Dongcheng District in Beijing,as well as the proportion of unreasonable dietary habits and lifestyle behaviors. And advanced age,female and history of hypertension are possible risk factors for CHD among diabetic patients. The large average daily fruit intake and the high levels of comprehensive physical activities are protective factors for CHD among patients with diabetes.
【Key words】 Diabetes;Coronary disease;Prevalence;Root cause analysis
 
Prevalence of Health-promoting Lifestyle and Influencing Factors among Adults with Noncommunicable Disease in Guangzhou Old Urban Areas CHEN Aiyun1,2*,ZHANG Liang2
1.School of Health Management,Guangzhou Medical University,Guangzhou 511436,China
2.School of Medicine and Health Management,Tongji Medical College of Huazhong University of Science & Technology,Wuhan 430030,China
*Corresponding author:CHEN Aiyun,Associate professor;E-mail:aiyunch1221@163.com
【Abstract】 Background Noncommunicable diseases(NCDs) are a great health risk faced by all nations,especially the developing countries. Unhealthy lifestyle is one of the main causes for NCDs. Studies have found that health-promoting lifestyle is effective in exploring health potentials,improving conditions,delaying the development of complications and enhancing the quality of life in such patients. Objective To investigate the prevalence of health-promoting lifestyle in adults(≥18 years old) with NCDs in Guangzhou old urban areas,and its associated factors concerning socioeconomic and community health service utilization,providing evidence for the development of community-based health education and NCDs management. Methods From November 2017 to January 2018,we conducted a survey in 750 adults with NCDs from 12 community health institutions in four districts of Guangzhou by multistage random sampling. The survey tools were the revised version of Health Promoting Lifestyle ProfileⅡ(HPLP-ⅡR) and a self-designed questionnaire named Community Health Services Utilization Questionnaire(CHSUQ). Results A total of 697 cases returned responsive questionnaires,achieving a response rate of 92.9%. The overall standardized score of the HPLP-ⅡR scale was 72.02. And the standardized scores for domains of nutrition,interpersonal relations,health responsibility,stress management,physical activity,and spiritual growth were 81.33,78.40,71.73,71.00,62.63,and 71.15,respectively. Compared to those aged over 65 years,patients aged 65 years or less had higher score of the HPLP-ⅡR scale (P<0.05). Increased education level and mean monthly income were positive influencing factors of health-promoting lifestyle (P<0.05). Moreover,those aged 65 years or less also scored higher in 5 domains(nutrition,interpersonal relations,stress management,physical activity,and spiritual growth)(P<0.05).Increased education level was a positive influencing factor of nutrition,health responsibility and spiritual growth(P<0.05).Increased mean monthly income had a positive impact on stress management and physical activity(P<0.05). The health responsibility of patients with multiple chronic diseases was better than that of those with one chronic disease(P<0.05),but the spiritual growth was not as good as the latter(P<0.05). Patients who received health education and follow-up services for NCDs from general practitioners had higher scale score of the HPLP-ⅡR scale,and higher domain scores of health responsibility and physical activity than those who did not(P<0.05). Conclusion The prevalence of health-promotion lifestyle in adults with NCDs in Guangzhou old urban areas is high. To further improve the health-promotion lifestyle in such patients,priorities should be given to groups of over 65 years old,primary education level and below,and household monthly income per person less than 2 000 yuan,and should be given to the aspects of spiritual growth,stress management,and physical activity. Moreover,community-based health education and NCDs follow-up services are effective interventions can be used.
【Key words】 Chronic disease;Health promotion;Community health services;Root cause analysis;Guangzhou

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