高血压患病率及其危险因素调查

目的　了解上海城市居民高血压患病情况以及有关危险因素 ,为高血压防治提供依据。方法　对上海市 2个城市社区 35～ 74岁居民进行问卷调查和血压测量 ,统计分析采用 χ2 检验和非条件Logisic回归模型。 结果　男女居民高血压患病率分别为 31 7%和 2 7 9% ,高血压患病率随年龄而上升。年龄、体质指数、母亲高血压史、父亲高血压史、性别、职业、文化程度、饮酒、婚姻状况等进入了多因素非条件Logistic回归模型。体质指数与高血压患病率呈正相关。母亲高血压史、父亲高血压史、饮酒的OR分别为 2 19(95 %CI2 0 5～ 2 34)、2 13(95 %CI2 0 0～ 2 2 8)和 1 2 4(95 %CI1 14～ 1 36 )。结论　高血压是遗传因素和环境因素长期相互作用的结果 ,应采取综合防治策略

Investigation on Incidence of Hypertension and its Risk Factors

Objective To investigate the incidence of hypertension among habitants in Shanghai and its risk factors to give evidence to prevent and control hypertension.Methods A survey was conducted to investigate hypertension and to measure the blood pressure in 35-74 aged habitants in two communities in Shanghai.The chisquare test and unconditional logistic regression were performed.Results The incidences of hypertension in men and in women were 31.7% and 27.9%,respectively,and increased along with age.Age,body mass index,mother's hypertension history,father's hypertension history,sex,occupation,education level,drinking and marital status entered the multiple unconditional logistic regression model.There was a positive relationship between the incidence of hypertension and the body mass index.The ORs of mother's hypertension history,father's hypertension history and drinking were 2.19 (95%CI 2.05-2.34),2.13(95%CI 2.00-2.28) and 1.24 (95%CI1.14-1.36),respectively.Conclusion Hypertension was the result of the interaction between inheritance and environment and the strategy to prevent and control hypenension should be comprehensive.