| Summary: | 碩士 === 中國醫藥大學 === 公共衛生學系碩士班 === 101 === Objectives: The aims of this study were to understand the rate of chronic kidney disease in adults, and to examine the risk factor associated with the occurrence of chronic kidney disease.
Methods: This study used a cross-sectional study design. The study subjects were recruited from participants in the health examination services provided by Chiayi County Health Bureau. With obtaining subjects’ informed consents, information on sociodemographics, medical history of chronic diseases, health lifestyles and eating behaviors was collected by administering a face-to-face interview survey with a structured-questionnaire instrument. In addition, data on creatinine and urine protein were collected from blood and urine specimens. After the exclusion of incomplete data, the analytical sample size in this study is 4499.
Results: The rate of CKD was 19.65%, and the rate for CKD one to five stage were 0.4%, 2.5%, 15.9%, 0.7%, and 0.2%, respectively.The result of multiple logstic regression analyses revealed that the significant risk factors were ethnicity, work status, age, hypertension, hyperglycemia, heart disease, and fruit intake per day. The odds of having CKD in indigenous people were 1.51 times higher than those in Taiwanese people (OR=1.51, p=0.004). The likelihood of having CKD in people without work had 1.28 times higher than that in people without to have CKD than people with work (OR=1.28, p=0.017). One year increase in age would increase 1.08 times likelihood to have CKD(OR=1.08, p<0.001 ). The odds of having CKD in people with medicial history of hypertension, hyperglycemia, and heart disease were 1.87, 1.73, and 1.42 times higher than those for pepple without the diseases histories (OR=1.87, p<0.001;OR=1.73, p<0.001;OR=1.42, p=0.015). Consuming equals to or more than two servings of fruit one day would lower the likelihood of having CKD to 0.74 times, comparing to consuming less than two servings of fruit one day (OR=0.74, p=0.024).
Conclusion: In this study, we found the rate of CKD in the population of the agricultural county was higher than that in the general Taiwan population. The significantly associated risk factors were ethnicity, age, hypertension, hyperglycemia, heart disease, and fruit intake per day. Therefore, this study suggested that for health governments to implement a assuccessful prevention programs, CKD educating and promoting behavioral change programs, fruit intake in particles, and making more efforts on chronic diseases'' prevention programs would be right directions to go further.
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