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目的调查分析邢台市18岁及以上成年居民高血压患病情况及影响因素,为预防控制提供依据。方法 2009年9月至2010年5月,采用整群随机抽样方法,按照高血压统一诊断标准及指标定义,在邢台市区抽取1个小区18岁及以上本地居民,在任县乡村抽取1个村庄18岁及以上本地居民进行问卷调查,调查内容包括其年龄、性别、文化程度、职业、吸烟、饮酒、饮食咸淡、体力活动等情况以及对身高、体重、腰围和血压测量。率的比较用2检验,多因素分析用logistic回归。结果共调查5 231人,其中邢台城镇居民2 601人,任县乡村居民2 630人;男、女分别2 589、2 642人。检出高血压患者1 314例,高血压粗患病率为25.12%。城镇居民高血压患病率为27.57%(717/2 601),高于乡村的22.70%(597/2 630),男性居民高血压患病率为25.96%(672/2 589),高于女性的24.30%(642/2 642),差异均有统计学意义(均P<0.01)。城市居民与乡村居民高血压患病率以及男性居民与女性居民高血压患病率均随年龄的增长呈增高趋势(均P<0.01),且年龄越大,高血压的患病率也越高。多因素logistic回归分析结果显示,城乡(OR=1.69)、性别(OR=1.98)、年龄(OR=4.33)、吸烟(OR=1.68)、饮酒(OR=1.46)、嗜好咸食(OR=1.67)、体力活动(OR=0.89)、高血压家族史(OR=1.50)、腰围(OR=2.73)与高血压的发病密切相关。结论邢台市18岁及以上成年居民高血压患病率较高,其发病与城乡、性别、年龄、吸烟、饮酒、嗜好咸食、体力活动、高血压家族史以及肥胖等因素相关。
Objective To investigate and analyze the prevalence and influencing factors of hypertension among adults aged 18 years and above in Xingtai City, and to provide basis for prevention and control. Methods From September 2009 to May 2010, a cluster random sampling method was adopted. According to the uniform diagnostic criteria of hypertension and the definition of indicators, a community of 18-year-olds and above was sampled from 1 urban area in Xingtai City and 1 village A questionnaire survey was conducted among local residents aged 18 years old and above. The survey included age, sex, education level, occupation, smoking, alcohol consumption, saltiness, physical activity, height, weight, waist circumference and blood pressure. Rate comparison using 2 test, multivariate analysis using logistic regression. Results A total of 5 231 people were surveyed, including 2 601 urban residents in Xingtai and 2 630 rural residents in Ren County, and 2 589 and 2 642 men and women, respectively. A total of 1 314 cases of hypertension were detected, the crude prevalence of hypertension was 25.12%. The prevalence rate of hypertension in urban residents was 27.57% (717/2601), higher than that in rural areas (22.70% (597/2 630)). The prevalence rate of hypertension among male residents was 25.96% (672/2 589) (24.30%) (642/2642), the difference was statistically significant (all P <0.01). The prevalence of hypertension and the prevalence of hypertension among male and female inhabitants in urban and rural areas increased with the increase of age (all P <0.01), and the higher the age, the higher the prevalence of hypertension . Multivariate logistic regression analysis showed that the odds of eating salty foods (OR = 1.67), sex (OR = 1.98), age (OR = 4.33), smoking ), Physical activity (OR = 0.89), family history of hypertension (OR = 1.50) and waist circumference (OR = 2.73) were closely related to the incidence of hypertension. Conclusion The prevalence of hypertension in adults aged 18 years and over in Xingtai City is relatively high. The incidence of hypertension is related to urban and rural areas, gender, age, smoking, drinking, alcoholism, physical activity, family history of hypertension and obesity.