中文摘要：

目的对天津市内六区社区居民的慢性病患病情况进行调查，为合理配置卫生资源，有效开展社区卫生服务提供客观参考依据。方法采用多阶段随机整群抽样方法，利用自制问卷对社区居民进行入户调查。结果社区居民的超重率和肥胖率为35．83％和11．43％，慢性病患病率高达43．93％，男性低于女性；慢性病疾病谱中排在前5位的分别是高血压、糖尿病、冠心病、颈椎疾病和腰椎疾病。15岁及以上人群高血压男性检出率为23．46％，女性为21．93％，平均22．66％，男性高于女性。成年男性糖尿病患病率为8．89％，女性为9．10％，平均为9．00％。结论天津市区社区居民慢性病患病率处于较高水平且有增高趋势，慢性病预防控制工作任重道远、防控策略和措施亟待加强。

英文摘要：

Objective To understand the prevalence of chron- ic and non-communicable diseases of community residents in Tianjin so as to propose references for allocating health resources and offering medical services effectively and smoothly. Methods Multistage cluster random sampling is adopted to obtain the sample population. We collected data by means of questionnaire and physical examination in necessary from one door to the next. Results The general prevalence of chronic and non- communicable diseases was 43.93%, male residents being lower than fe- male （P = 0. 000）. The first 5 categories of chronic and non-communicable diseases were hypertension, diabetes mellitus, coronary disease, cervical and lumbar spondylosis. The general detection rate of hypertension in more than 15 aged groups was 22.66% and male（23.46% ） was higher than female （21.93%）. General rate of diabetes mellitus in adults was 9.00% and no significance was found between male （ 8.89% ） and female （ 9. 10% ）. Condusion The prevalence of chronic and non-communicable diseases of community residents in Tianjin is so high with a increasing trend that the work of prevention and control are confronted with a special challenge. To enhance the strategies and measures in the work of prevention and control is in need.