中文摘要：

目的 了解重庆市社区居民慢性病患病现状及其影响因素,为社区卫生服务工作制定有效的防治策略和干预措施提供科学依据。方法 2014年7月,采用方便抽样方法在重庆市沙坪坝区24个社区抽取1 021名≥18周岁社区居民进行问卷调查和体格检查。结果 重庆市调查的1 021名≥18周岁社区居民中,高血压、糖尿病、脑卒中、冠心病、慢性阻塞性肺部疾病（COPD）5种慢性病的患病率分别为29.3%、11.9%、2.9%、10.0%、5.5%;多因素非条件logistic回归分析结果显示,年龄≥50岁、超重、肥胖、有家族史、经常自测血糖血压和糖尿病是重庆市社区居民高血压患病的危险因素,甜口味喜好为喜欢和辣口味喜好为一般是重庆市社区居民高血压患病的保护因素;年龄≥60岁、有家族史、经常自测血糖血压和高血压是重庆市社区居民糖尿病患病的危险因素,食用畜肉类≥7次/周、食用禽鱼蛋奶类1~2次/周、甜口味喜好为一般和喜欢是重庆市社区居民糖尿病患病的保护因素;年龄≥70岁和高血压是重庆市社区居民脑卒中患病的危险因素;年龄≥60岁、有家族史、经常自测血糖血压和高血压是重庆市社区居民冠心病患病的危险因素;年龄≥60岁、有家族史、戒烟和生活满意度一般、不满意、很不满意是重庆市社区居民COPD患病的危险因素,高脂饮食喜好为一般是重庆市社区居民COPD患病的保护因素。结论 重庆市社区居民慢性病患病水平较高,年龄、BMI、家族史、自测血糖血压、甜和辣口味喜好、高脂饮食、食用畜肉类和禽鱼蛋奶类频率、吸烟量、生活满意度等是重庆市社区居民慢性病患病的主要影响因素。

英文摘要：

Objective To investigate the prevalence and influence factors of non-communicable chronic diseases（ NCD） among community residents in Chongqing municipality,and to provide a basis for making effective strategies in prevention and control of NCD. Methods Convenience sampling method was used to perform a cross-sectional survey.A face-to-face questionnaire survey and physical examinations were conducted among a total of 1 021 community residents equal to or older than 18 years old from 24 communities in Shapingba district of Chongqing municipality. Results Among the residents surveyed,the prevalence of hypertension,diabetes,stroke,coronary heart disease（ CHD）,and chronic obstructive pulmonary disease（ COPD） were 29. 3%,11. 9%,2. 9%,10. 0%,and 5. 5%,respectively. The results of multivariate logistic regression showed that older than 50 years,overweight,obesity,familial disease history,self-measuring blood glucose or blood pressure frequently,and diabetes were risk factors,while being fond of sweet food and ordinary preference of peppery food were protective factors of hypertension; older than 60 years,familial disease history,self-measuring blood glucose or blood pressure frequently,and hypertension were the risk factors and consuming meat more than 7times per week,taking fish and egg eating more than 1 or 2 times per week,and ordinary and high preferences of sweet food were protective factors of diabetes; older than 70 years and hypertension were the risk factors of stroke; older than 60 years,familial disease history,self-measuring blood glucose or blood pressure frequently,and hypertension were the risk factors of CHD; older than 60 years,familial disease history,smoking cessation,and lowsatisfaction to life were the risk factors while ordinary preference of high fat diet was a protective factor of COPD. Conclusion The prevalence of NCD is high and age,body mass index,familial disease history,self-measuring blood glucose or blood pressure,being fond of sweet and peppery food,high fat iet,consuming meat