Epidemiological investigation of adult thyroid diseases in urban and rural areas of Hebei Province
10.3760/cma.j.cn231583-20210712-00232
- VernacularTitle:河北省城市、农村地区成人甲状腺疾病流行病学调查分析
- Author:
Zhihua HAO
1
;
Mian WANG
;
Huiyao HAO
;
Ming GAO
;
Yanhong GE
;
Qiuxiao ZHU
;
Zibo LIU
;
Xue ZHAO
;
Jie LI
;
Xing WANG
;
Lijing JIAO
;
Lingling YUAN
;
Lihui ZHANG
Author Information
1. 河北医科大学第二医院内分泌科，石家庄 050051
- Keywords:
Thyroid gland;
Urban and rural;
Epidemiology;
Adults
- From:
Chinese Journal of Endemiology
2023;42(4):292-295
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the prevalence and distribution of adult thyroid diseases in urban and rural areas of Hebei Province.Methods:A multi-stage stratified cluster sampling method was used to select Renqiu City and Licun Town, Luquan City of Hebei Province as the urban and rural survey sites, respectively. Questionnaire survey, physical examination and thyroid B ultrasound examination were conducted on local permanent residents (≥ 5 years of residencies) over 18 years old. The fasting venous blood sample was collected to determine the serum thyroid function indicaters.Results:A total of 2 650 adults were surveyed, including 1 393 urban residents and 1 257 rural residents (1 357 males and 1 293 females). A total of 435 patients with thyroid diseases were diagnosed, the detection rate was 16.42%. There were seven thyroid diseases, including subclinical hypothyroidism (60.92%, 265/435), Hashimoto's thyroiditis (34.02%, 148/435), hypothyroidism (4.83%, 21/435), simple goiter (3.22%, 14/435), hyperthyroidism (2.53%, 11/435), subclinical hyperthyroidism (2.53%, 11/435), and thyroid cancer (1.84%, 8/435). The detection rates of thyroid diseases in urban and rural areas were 21.18% (295/1 393) and 11.14% (140/1 257), respectively. The detection rates of thyroid diseases in males and females were 11.42% (155/1 357) and 21.66% (280/1 293), respectively. The detection rates of thyroid diseases in 18-< 30, 30-< 40, 40-< 50, 50-< 60 and ≥60 years old were 13.46% (91/676), 14.81% (81/547), 15.42% (89/577), 20.94% (85/406) and 20.05% (89/444), respectively. There were statistically significant differences between different areas, gender and age groups (χ 2 = 48.54, 50.53, 14.68, P < 0.05). Conclusions:The detection rate of subclinical hypothyroidism in adults in urban and rural areas of Hebei Province is relatively high, followed by Hashimoto's thyroiditis. Attention should be paid to the screening, evaluation, and intervention of thyroid function among urban female populations.
