摘要目的:基于智能健康监测系统了解天津市中青年居民的健康状况，探讨居民患慢性病的影响因素，为社区制订干预措施提供建议。方法:于2019年4—6月便利选取天津市的512名中青年居民作为研究对象，借助智能健康监测系统收集人口学特征、生活习惯、健康状况数据。采用描述性分析总结居民健康特征，采用χ 2检验和秩和检验进行单因素分析，采用Logistic回归探讨中青年居民患慢性病的影响因素。 结果:512名中青年居民的年龄为（35.13±12.59）岁，患慢性病163名（31.8%）。多因素分析显示，年龄（ OR=1.668， P=0.002）、文化程度（ OR=0.779， P=0.039）、近1周是否适度运动（ OR=2.064， P=0.018）、BMI（ OR=2.339， P<0.001）、血压监测频率（ OR=2.560， P=0.003）、尿酸监测频率（ OR=2.742， P=0.001）进入回归方程，是中青年居民患慢性病的影响因素。 结论:医护人员需加强关注天津市中青年居民的健康状况。年龄增加、近1周无适度运动、肥胖、经常监测血压和尿酸与中青年居民慢性病发生情况呈正相关，医务人员可参考本调查结果提出健康干预措施。

abstractsObjective:To understand the health status of young and middle-aged residents in Tianjin based on the intelligent health monitoring system to explore influencing factors of residents suffering from chronic diseases, so as to provide suggestions for development of intervention measures for the community.Methods:From April to June 2019, a total of 512 young and middle-aged residents in Tianjin were selected as research objects, and data on demographic characteristics, living habits and health conditions were collected with the help of an intelligent health monitoring system. Descriptive analysis was used to summarize the health characteristics of residents, χ 2 test and rank sum test were used for univariate analysis, and Logistic regression was used to explore influencing factors of chronic diseases among young and middle-aged residents. Results:The age of 512 young and middle-aged residents was (35.13±12.59) years old, and 163 (31.8%) suffered from chronic diseases. Multivariate analysis showed that age ( OR=1.668, P=0.002) , education level ( OR=0.779, P=0.039) , moderate exercise in the past week ( OR=2.064, P=0.018) , BMI ( OR=2.339, P<0.001) , the frequency of blood pressure monitoring ( OR=2.560, P=0.003) , and the frequency of uric acid monitoring ( OR=2.742, P=0.001) entered the regression equation, which were the influencing factors of chronic diseases among young and middle-aged residents. Conclusions:Medical staff need to pay more attention to the health status of young and middle-aged residents in Tianjin. Increasing age, lack of moderate exercise in the past week, obesity, frequent monitoring of blood pressure and uric acid are positively correlated with the incidence of chronic diseases in young and middle-aged residents. Medical staff can refer to the survey results to propose health intervention measures.