摘要
[目的]探讨膳食、社会经济和行为因素对广西农村男女居民发生高血压的影响,为有针对性提出膳食、社会经济行为因素干预措施和策略提供科学依据。[方法]2007年,利用2002年广西营养与健康调查数据,分析影响农村男女居民高血压发生的膳食、社会经济和行为因素。[结果]在4个农村县调查15岁及以上居民1 390人,高血压患者241例,患病率为17.34%。高血压患病率,男性为22.44%,女性为12.79%(P<0.01);壮族为17.73%,汉族为24.14%,其他民族为7.14%(P<0.05)。膳食调查结果,男性高血压患者的畜禽肉类、畜肉、酒、腌菜、水产品、植物油摄入量均明显高于非患者,米及其制品、新鲜蔬菜摄入量明显低于非患者(P<0.01或P<0.05);女性高血压患者的动物油、油脂类、内脏摄入量均低于非患者(P<0.05);男性的调味品盐、食盐、内脏类、动物油、油脂、酒、米及制品、蔬菜摄入量明显高于女性(P<0.01或P<0.05)。非条件Logistic回归分析结果,进入男性回归模型的因素有年龄(OR=2.149)、畜肉(OR=1.252)、酒(OR=1.147),进入女性回归模型的因素只有年龄(OR=3.033)。[结论]年龄是农村居民高血压发生的重要危险因素,吃畜肉多、过量饮酒是农村男性居民高血压患病率高于女性的重要膳食和行为因素。
[Objective]To explore the impact of diet on hypertension in rural residents of different gender in Guangxi, provide scientific intervention strategy and measures of diet,socioeconomic, behavior on it. [Methods]Diet,socio economy and behavior factors which was the risk of hypertension among rural residents were analyzed based on data from Guangxi nutritional study. [Results] 1390 residents aged 15 or over were selected in 4 urban and rural counties. 241 were patients with hypertension. The prevalence of hypertension is 17.34%, and that the rate in male residents is 22.44% Which is higher than that in female （12.79 %） （ P 〈0. 01）. There also shows ethically statistic significant difference（ P 〈0.05）, and the rates of the Han nationality,Chuang and other nations are 17.73 %, 24.14% and 7.14 %. The intakes of meat and poultry, meat, alcohol, pickle, fish and shrimp, plant oil are significantly higher and rice and its products, fresh vegetables significantly lower in rural male hypertension people than that in male normal people（ P 〈0.01 or P 〈0.05）. The intakes of animal fat,total fat,oil,and harslet in rural female people with hypertension are significantly lower than that in the female normal people（ P〈0.05）. The intakes of total salt, salt, harslet, animal fat, total fat and oil, alcohol, rice and its products,fresh vegetables in male residents are higher than that in female residents（ P 〈0.05 or P 〈0.01）. The unconditional Logistic multi-regression analysis shows that the factors entered the hypertension regression model in rural male residents are age（ OR =2. 108）,meat（ OR = 1. 252）,alcohol（ OR = 1. 147）,while the factors in rural female residents is only age（ OR = 3. 033）. [Conclusion]Age is a key risk factor on hypertension. Over intakes of meat and alcohol are the significant dangerous factors for hypertension in male residents in rural.
出处
《预防医学论坛》
2009年第3期193-196,共4页
Preventive Medicine Tribune
基金
广西壮族自治区卫生厅立项课题(Z2007022)
关键词
膳食
社会经济因素
行为因素
高血压
性别差异
Diet
Socioeconomic and behavioral factor
Hypertension
Gender difference
