| 郑州市成年居民高血压流行现状及危险因素分析 |
| |
| 引用本文： | 李建彬,刘建勋,武恩平,郭向娇,王艳红,祁辉.郑州市成年居民高血压流行现状及危险因素分析[J].现代预防医学,2020,0(12):2263-2266. |
| |
| 作者姓名： | 李建彬 刘建勋 武恩平 郭向娇 王艳红 祁辉 |
| |
| 作者单位： | 郑州市疾病预防控制中心，河南 郑州 450007 |
| |
| 摘 要： | 目的 了解郑州市18岁以上成年居民高血压流行现状及其危险因素，为高血压防治策略提供依据。方法 于2018年9-10月采用多阶段分层整群抽样方法调查郑州市18岁及以上常住居民6 798人，并进行个人问卷调查和体格检查。结果 高血压粗患病率29.20%（标化患病率26.53%），男性高于女性（32.80%，26.69%，χ2 = 29.662，P＜0.001），农村高于城市（34.19%，24.35%，χ2 = 79.490，P＜0.001）。高血压患病率均随着年龄的增长而升高（χ2趋势 = 32.063，P＜0.001），随BMI的增加而升高（χ2趋势 = 23.225，P＜0.001），随文化程度的增高逐渐降低（χ2趋势 = -17.981，P＜0.001）。logistic多因素回归因素显示:男性（OR = 1.280）、农村（OR = 1.826）、年龄增高（25～34岁:OR = 1.339，35～44岁: OR = 2.506，45～54岁:OR = 4.913，55～64岁:OR = 7.732，≥65:OR = 16.333）、超重（OR = 1.886）、肥胖（OR = 3.594）、糖尿病（OR = 1.850）、血脂异常（OR = 1.496）、高血压家族史（OR = 1.941）、饮酒（1次/周以上者）（OR = 1.453）是高血压的危险因素。结论 郑州市成年居民高血压患病率处于较高水平，应根据本地流行特点开展针对性防控措施，有效降低高血压发病风险。
|
| 关 键 词： | 高血压 患病率 危险因素 |
Analysis on epidemic status and risk factors of hypertension among adults in Zhengzhou |
| |
| LI Jian-bin,LIU Jian-xun,WU En-ping,GUO Xiang-jiao,WANG Yan-hong,QI Hui.Analysis on epidemic status and risk factors of hypertension among adults in Zhengzhou[J].Modern Preventive Medicine,2020,0(12):2263-2266. |
| |
| Authors: | LI Jian-bin LIU Jian-xun WU En-ping GUO Xiang-jiao WANG Yan-hong QI Hui |
| |
| Affiliation: | Zhengzhou Center for Disease Control and Prevention, Zhengzhou, Henan 450007, China |
| |
| Abstract: | To study the epidemic status and risk factors of hypertension in residents aged 18 year and older of Zhengzhou so as to provide evidence for the prevention and control methods for hypertension. Methods A total of 6798 residents aged 18 year and older were selected by using multi-stage stratified and clustered sampling method from September to October in 2018. These participants completed questionnaires and was measured by physical examination. Results The prevalence of hypertension was 29.20%, and standardized prevalence was 26.53%. The prevalence of hypertension was higher in male than in female(32.80% vs 26.69%, χ2=29.662, P<0.001), and also higher in rural than in city(34.19% vs 24.35%,χ2=79.490, P<0.001). The prevalence of hypertension increased along with the age and BMI(χ2 trend=32.063,χ2 trend=23.225, P<0.001), but decreased along with the degree of education(χ2 trend=-17.981, P<0.001). The prevalence of hypertension was higher in over-weight, obese and central obese group than in normal group(P <0.001). The multivariate logistic regression analysis showed that male(OR=1.280), rural(OR=1.826), age(25-34: OR=1.339, 35-44: OR=2.506, 45-54: OR=4.913, 55-64: OR=7.732, ≥65: OR=16.333), over-weight(OR=1.886), obesity(OR=3.594), diabetes mellitus(OR=1.850), dyslipidemia(OR=1.496), family history of hypertension(OR =1.941), drinking(≥1 time/week)(OR =1.453) were independent risk factors of hypertension. Conclusion The prevalence of hypertension was high in adult residents of Zhengzhou. So measures should be active carried out for prevention and control of hypertension according to the epidemiological characteristics of Zhengzhou to decrease the risk of hypertension. |
| |
| Keywords: | Hypertension Prevalence Risk factors |
| 本文献已被 CNKI 等数据库收录！ |
| 点击此处可从《现代预防医学》浏览原始摘要信息 |
|
点击此处可从《现代预防医学》下载全文 |
|
