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目的探讨影响徐州市老年人高血压发病的原因,为今后的防控提供科学依据。方法采用多阶段分层抽样法,抽取徐州市3个区6个居民点的60岁以上老人作为研究对象,用Logistic对收集到的数据进行分析。结果共收集有效问卷1658份,高血压患者867例,患病率为52.29%;单因素Logistic分析:年龄、文化程度、BMI、吸烟、饮酒、高血压家族史、睡眠质量均为高血压病的影响因素,P<0.001,差异具统计学意义,且年龄、BMI、吸烟、饮酒、高血压病家族史为危险因素,文化程度和睡眠质量是保护性因素;多因素Logistic分析:年龄、BMI、饮酒和胞兄妹患病是影响高血压发病的主要因素,且这四个因素全部为危险性因素,P<0.001,差异具统计学意义。结论影响高血压发病的主要原因为年龄、BMI、饮酒和家族史,预防高血压的发生应主要从这四个方面着手。
Objective To explore the causes of hypertension affecting the elderly in Xuzhou and to provide a scientific basis for future prevention and control. Methods The multi-stage stratified sampling method was used to select the elderly over 60 years old in 6 settlements in 3 districts of Xuzhou as the research object, and the data collected were analyzed by Logistic. Results A total of 1658 valid questionnaires were collected and 867 hypertensive patients with prevalence of 52.29%. Logistic regression analysis showed that age, education level, BMI, smoking, alcohol consumption, family history of hypertension and quality of sleep were all hypertension Age, BMI, smoking, drinking, family history of hypertension were risk factors, education level and quality of sleep were protective factors; multivariate Logistic analysis: age, BMI, Alcohol and siblings are the main factors affecting the incidence of hypertension, and all of these four factors are risk factors, P <0.001, the difference was statistically significant. Conclusion The main causes of hypertension are age, BMI, alcohol consumption and family history, and the prevention of hypertension should be mainly from these four aspects.