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目的了解北京市石景山社区高血压知晓率、治疗率、控制率及其影响因素,为制定防治干预措施提供依据。方法在北京市石景山社区采用整群抽样的方法,对知情同意的社区居民统一进行问卷调查和一般体格检查,获得人口学、行为生活方式、疾病史、用药史、收缩压及舒张压等信息,将资料完整者纳入研究,统计分析不同年龄组、性别居民高血压知晓率、治疗率、控制率情况,并通过多因素Logistic回归分析其影响因素。结果共有3854例社区居民资料完整,女性2562例,男性1292例。高血压患病率为47.90%(1846/3854),知晓率78.49%(1449/1846),治疗率67.77%(1251/1846),控制率48.75%(900/1846)。男性高血压患病率54.33%(702/1292),知晓率75.64%(531/702),治疗率63.11%(443/702),控制率45.30%(318/702);女性高血压患病率44.65%(1144/2562),知晓率80.24%(918/1144),治疗率70.63%(808/1144),控制率50.87%(582/1144)。女性高血压知晓率和治疗率在40~<50岁组最低,控制率在70~≤81岁组最低,男性高血压知晓率、治疗率和控制率随年龄增加逐渐增加,最低是40~<50岁组。多因素分析结果显示,年龄、血脂异常、高血压家族史和体重指数是高血压知晓率、治疗率和控制率的共同影响因素。结论北京市石景山社区居民的高血压知晓率、治疗率和控制率水平仍需要进一步增强;女性高血压知晓率、控制率和治疗率均高于男性。
Objective To understand the awareness rate, treatment rate and control rate of hypertension in Shijingshan community in Beijing and its influencing factors, so as to provide basis for making prevention and intervention measures. Methods A cluster sampling method was adopted in Shijingshan community in Beijing to conduct questionnaire and general physical examination for community residents with informed consent and to obtain demographic information, behavioral lifestyle, history of illness, medication history, systolic blood pressure and diastolic blood pressure. The data were included in the study, statistical analysis of different age groups, gender residents awareness of hypertension, treatment, control rates, and multivariate Logistic regression analysis of its influencing factors. Results A total of 3854 community residents were complete with 2562 women and 1292 men. The prevalence of hypertension was 47.90% (1846/3854), the awareness rate was 78.49% (1449/1846), the treatment rate was 67.77% (1251/1846) and the control rate was 48.75% (900/1846). The prevalence rate of hypertension in men was 54.33% (702/1292), the awareness rate was 75.64% (531/702), the treatment rate was 63.11% (443/702) and the control rate was 45.30% (318/702) 44.65% (1144/2562), the awareness rate was 80.24% (918/1144), the treatment rate was 70.63% (808/1144) and the control rate was 50.87% (582/1144). The awareness rate and treatment rate of female hypertension were the lowest in 40 ~ <50 years old group, and the control rate was the lowest in 70 ~ 81 years old group. The awareness rate, treatment rate and control rate of male hypertension increased gradually with age, the lowest was 40 ~ 50 years old group. Multivariate analysis showed that age, dyslipidemia, family history of hypertension and body mass index were the common influencing factors of the rate of hypertension, treatment rate and control rate. Conclusion The awareness rate, treatment rate and control rate of residents in Shijingshan community in Beijing still need to be further strengthened. The awareness rate, control rate and treatment rate of female hypertension are higher than those of male.