摘要
目的分析安徽省金寨县成人高血压患病、知晓、治疗和控制现状,并探索本地区高血压影响因素。方法采用多阶段整群随机抽样抽取金寨县18岁及以上常住成年居民进行问卷调查和测量血压,运用多因素logistics回归分析方法分析高血压影响因素。结果有效调查2 729人,高血压患病率、知晓率、治疗率和控制率分别为38.9%、64.6%、48.8%和21.1%,均随着年龄增长而增高,且男性高血压患病率大于女性(P<0.05)。多因素logistics回归分析结果显示年龄越大(OR:2.75,95%CI:2.40~3.15)、BMI越大(OR:1.14,95%CI:1.11~1.16)、患有糖尿病(OR:2.34,95%CI:1.76~3.11)、患有血脂异常(OR:1.51,95%CI:1.26~1.80)以及水果摄入不足(OR:1.36,95%CI:1.04~1.80)是高血压的危险因素。结论金寨县高血压患病率高,且知晓率、治疗率和控制率较低,老年人、超重肥胖者、糖尿病和血脂异常患者,以及水果摄入不足的人群应作为重点人群进行干预。
Objective To understand the prevalence, awareness, treatment and control status of hypertension in Jinzhai County and explore its risk factors. Methods The method of multi-stage cluster random sampling was used to select randomly the adult permanent residents who were 18 or more years old. Then the questionnaire survey was conducted and the blood pressure was measured. The method of multi-factor logistic regression analysis was used to analyze the risk factors ofhypertension. Results A total of 2 729 people were surveyed effectively; the prevalence, awareness, treatment and control rates of hypertension were 38.9%, 64.6%, 48.8% and 21.1%, respectively, and they were increased with the age increasing. The prevalence of the males was higher than that of the females（P〈0.05）. The multi-factor logistic regression analysis showed that the age（OR： 2.75, 95%CI： 2.40-3.15）, high BMI（OR： 1.14, 95%CI： 1.11-1.16）, diabetes（OR： 2.34, 95%CI： 1.76-3.11）,dyslipidemia（OR： 1.51, 95%CI： 1.26-1.80）, and inadequate intake of fruit（OR： 1.36, 95%CI： 1.04-1.80） were the risk factors for hypertension. Conclusions The prevalence of hypertension is high in Jinzhai County, but the treatment and control rates are low. The effective interventions should be strengthened in the focus groups, including the elderly, overweight or obesity people, diabetes and dyslipidemia patients, and people with inadequate intake of fruit.
作者
俞亮
廖家胜
付浩
YU Liang;LIAO Jiasheng;FU Hao Jinzhai(County Center for Disease Control and Prevention,Jinzhai,Anhui 246200,Chin)
出处
《中国热带医学》
CAS
2018年第8期844-846,共3页
China Tropical Medicine
关键词
高血压
患病率
知晓率
治疗率
控制率
hypertension
prevalence
awareness rate
treatment rate
control rate
