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目的了解珠海市农村地区高血压流行现状及其影响因素。方法在珠海市斗门和金湾农村地区采用多阶段分层随机整群抽样方法,对641名15~69岁常驻居民进行高血压影响因素问卷调查和身高、体重、血压测量,并应用多因素非条件Logistic回归模型分析高血压危险因素。结果珠海市农村地区调查人群高血压患病率24.0%,标化率22.7%,其中男性、女性标化率分别为24.9%、21.4%,男性和女性之间高血压患病率差异无统计学意义(u=1.086,P>0.05)。Logistic回归分析显示年龄、饮酒、超重和肥胖是高血压的危险因素(P<0.05),其OR值分别为1.070、1.624、2.126和10.508;每周食用水果种类是高血压的保护因素(P<0.05),其OR值为0.509。结论珠海市农村地区高血压患病率接近中国居民平均水平,对农村居民健康危害较为严重,应针对高血压的危险因素和保护因素,加强居民健康教育,改变饮酒等不良生活方式,控制超重和肥胖,多吃水果,预防高血压。
Objective To understand the prevalence of hypertension in rural areas of Zhuhai and its influencing factors. Methods Doumen and Zhuhai rural areas in Zhuhai City using multi-stage stratified stratified random cluster sampling method, 641 residents aged 15 to 69 were surveyed influential factors of hypertension and height, weight, blood pressure, and application of multiple factors Nonconditional Logistic Regression Model for Analysis of Hypertension Risk Factors. Results The prevalence rate of hypertension in rural population in Zhuhai was 24.0% and the standardization rate was 22.7%. The standardized rates of male and female were 24.9% and 21.4% respectively. There was no statistical difference in the prevalence of hypertension among men and women Significance (u = 1.086, P> 0.05). Logistic regression analysis showed that age, alcohol consumption, overweight and obesity were the risk factors for hypertension (P <0.05), and the OR values were 1.070, 1.624, 2.126 and 10.508 respectively. The type of edible fruit per week was the protective factor of hypertension (P < 0.05), the OR value of 0.509. Conclusion The prevalence of hypertension in rural areas of Zhuhai is close to the average level of Chinese residents and the health risks of rural residents are more serious. According to the risk factors and protective factors of hypertension, we should strengthen the residents’ health education, change the unhealthy lifestyle such as alcohol consumption, Obesity, eat more fruits, prevent high blood pressure.