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Study on Chronic Diseases Comprehensive Intervention in Baoji of Shaanxi Province in China

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DOI: 10.4236/ojepi.2014.44024    2,768 Downloads   3,096 Views  

ABSTRACT

Background: There is very limited data available about the epidemiology trial on chronic diseases comprehensive intervention. The aim of this study was to assess the effect of comprehensive intervention on chronic diseases in Baoji and provide basis for the improvement of chronic diseases intervention measures. Methods: Using four stages stratified random sampling method, comprehensive intervention measures were implemented on intervention group (575 individuals) respectively aimed at three crowds of whole population, high risk population and chronic diseases patients. The control group (782 individuals) did not receive special treatment. Two groups were evaluated effect after one year observation. Results: The chronic diseases prevalence rate of whole population in intervention group was lower than that in control group (P < 0.05), the blood pressure level and smoking proportion of high risk population in intervention group were lower than in control group (P < 0.05), and the blood pressure, blood glucose control rate of chronic diseases patients in intervention group were higher than in control group (P < 0.05). Conclusion: Comprehensive intervention could prevent the rise of chronic diseases prevalence. The intervention is effective in reducing or halting risk factors of high risk population, particularly in controlling blood pressure, blood glucose of patients. We should establish government leading, department cooperation, social participation, longtime and classified comprehensive intervention mechanism of chronic diseases. We believe that whole population should control the risk factors, high risk population should early diagnosis and treatment, chronic diseases patients should normalized management, and it could be applied in other counties.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Wang, H. , Deng, F. , Qu, M. , Yang, P. and Yang, B. (2014) Study on Chronic Diseases Comprehensive Intervention in Baoji of Shaanxi Province in China. Open Journal of Epidemiology, 4, 179-187. doi: 10.4236/ojepi.2014.44024.

References

[1] WHO (2002) Innovative Care for Chronic Conditions: Building Blocks for Action. WHO, Geneva.
[2] Ji, Y. (2010) Study of Chronic Diseases Epidemic Situation and the Prevention and Treatment of Countermeasure in Rural Area. Chinese General Practice, 13, 147-149.
[3] Qi, Y.Q., Wen, J.S. and Liu, C.Y. (2010) Analysis of Chronic Non Communicable Disease Epidemic Situation and Risk Factors in Baoji City of Shaanxi Province. Chinese health Education, 26, 903-905.
[4] Zhang, L., Shi, Z.F., Chi, A., et al. (2013) Analysis of Residents Chronic Diseases KAP Level and Effect Factors in 11 Years Community Intervention. Chinese Health Service Management, 10, 736-740.
[5] Bai, Y.M., Gao, R.T. and Guo, S.L. (2013) Research on the Dietary Characteristics of Rural Residents in Qinghai Province and the Importance of Chronic Diseases Prevention and Control. Chinese Journal of Prevention and Control of Chronic Non-Communicable Diseases, 21, 267-270.
[6] American Diabetes Association (2012) The 2012 ADA Guidelines for the Diagnosis and Treatment of Diabetes. Diabetes World Clinical Journal, 6, 56-62.
[7] Chinese Obesity Working Group (2004) Chinese Adult Overweight and Obesity Prevention and Control Guide (Excerpt). Acta Nutrimenta Sinica, 26, 1-4.
[8] Joint Committee of Dyslipidemia Prevention Guidelines for Chinese Adult (2007) Guidelines for Chinese Adult Dyslipidemia Prevention. Chinese Journal of cardiology, 35, 390-419.
[9] Asaria, P., Chisholm, D., Mathers, C., Ezzati, M. and Beaglehole (2007) Chronic Disease Prevention: Health Effects and Financial Costs of Strategies to Reduce Salt Intake and Control Tobacco Use. Lancet, 370, 2044-2053.
http://dx.doi.org/10.1016/S0140-6736(07)61698-5
[10] Lim, S.S., Gaziano, T.A., Gakidou, E., Reddy. K.S., Farzadfar, F., Lozano, R. and Rodgers, A. (2007) Prevention of Cardiovascular Disease in High-Risk Individuals in Low-Income and Middle-Income Countries: Health Effects and Costs. Lancet, 370, 2054-2062.
http://dx.doi.org/10.1016/S0140-6736(07)61699-7
[11] Jamison, D.T., Breman, J.G., Measham, A.R., Alleyne, G., Claeson, M., Evans, D.B., Jha, P., Mills, A. and Musgrove, P. (2006) Disease Control Priorities in Developing Countries. Oxford University Press, New York & World Bank, Washington DC.
[12] Sims, M., Maxwell, R., Bauld, L. and Gilmore, A. (2010) Short Terms Impact of Smoke-Free Legislation in England: Retrospective Analysis of Hospital Admissions for Myocardial Infarction. British Medical Journal, 340, c2161.
http://dx.doi.org/10.1136/bmj.c2161
[13] Li, G., Zhang, P., Wang, J., Gregg, E.W., Yang, W., Gong, Q., Li, H., Jiang, Y., An, Y., Shuai, Y., Zhang, B., Zhang, J., Thompson, T., Gerzoff, R.B., Roglic, G., Hu, Y. and Bennett, P.H. (2008) The Long-Term Effect of Lifestyle Interventions to Prevent Diabetes in the China Da Qing Diabetes Prevention Study: A 20-Year Follow-Up Study. The Lancet, 371, 1783-1789.
http://dx.doi.org/10.2188/jea.JE20120021
[14] Khan, R.J., Stewart, C.P., Christian, P., Schulze, K.J., Wu, L., LeClerq, S.C., et al. (2013) A Cross-Sectional Study of the Prevalence and Risk Factors for Hypertension in Rural Nepali Women. BMC Public Health, 13, 55.
[15] Fukuda, Y. and Hiyoshi, A. (2013) Associations of Household Expenditure and Marital Status with Cardiovascular Risk Factors in Japanese Adults: Analysis of Nationally Representative Surveys. Journal of Epidemiology, 23, 21-27.
http://dx.doi.org/10.2188/jea.JE20120021
[16] Pan, C., Yang, W., Jia, W., Weng, J., Liu, G., Luo, B., et al. (2012) Psychological Status of Chinese Patients with Type 2 Diabetes: Data Review of Diabcare-China Studies. Diabetic Medicine, 29, 515-521.
http://dx.doi.org/10.1111/j.1464-5491.2011.03436.x
[17] Kuil, W., Engberink, M.F., De Neve, M., van Rooij, F.J.A., Hofman, A., Veer, P., et al. (2013) Dietary Amino Acids and the Risk of Hypertension in a Dutch Older Population: The Rotterdam Study. American Journal of Clinical Nutrition, 97, 403-410.
http://dx.doi.org/10.3945/ajcn.112.038737
[18] Wang, C., Li, Y., Kang, Z., et al. (2009) Relationship between Dietary Nutrients Intake of Obese Women with Hypertension. Chinese Public Health, 25, 751-753.
[19] Aburto, N.J., Hanson, S., Gutierrez, H., Hooper, L. and Elliott, P. (2013) Effect of Increased Potassium Intake on Cardiovascular Risk Factors and Disease: Systematic Review and Meta-Analyses. British Medical Journal, 346, f1378.
http://dx.doi.org/10.1136/bmj.f1378
[20] Teunissen-Beekman, K.F. and van Baak, M.A. (2013) The Role of Dietary Protein in Blood Pressure Regulation. Current Opinion in Lipidology, 24, 65-70.
http://dx.doi.org/10.1097/MOL.0b013e32835b4645
[21] He, P.S. (2012) Survey on Prevalence of Diabetes Mellitus and Its Relevancy with Nutrition Intake among Rural Residents in Junan County, 2010. Preventive Medicine Tribune, 18, 261-263.
[22] Attard, S.M., Herring, A.H., Mayer-Davis, E.J., Popkin, B.M., Meigs, J.B. and Gordon-Larsen, P. (2012) Multilevel Examination of Diabetes in Modernising China: what Elements of Urbanisation Are Most Associated with Diabetes. Diabetologia, 55, 3182-3192.
http://dx.doi.org/10.1007/s00125-012-2697-8
[23] WHO (2008) Closing the Gap in a Generation: Health Equity through Action on the Social Determinants of Health. Commission on Social Determinants of Health Final Report, Geneva.
[24] Puska, P., Vartiainen, E., Laatikainen, T., Jousilahti, P. and Paavola, M. (2009) The North Karelia Project: From North Karelia to National Action. Helsinki: Helsinki University Printing House.
[25] WHO (2005) Preventing Chronic Diseases: A Vital Investment. WHO, Geneva.
[26] Woolf, S.H. and Stange, K.C. (2006) A Sense of Priorities for the Health Care Commons. American Journal of Preventive Medicine, 31, 99-102.
http://dx.doi.org/10.1016/j.amepre.2006.03.010
[27] Miller, P.S. (2004) In Economics as Well as Medicine Prevention Is Better than Cure. Aged and Aging, 33, 217-218.

  
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