珠海市社区居民高血压患病情况及防控现状

目的了解珠海市社区居民高血压患病率、防控情况及人群高血压危险因素控制情况，为社区开展高血压防控工作提供科学依据。方法采取多阶段分层整群抽样方法，从珠海市随机抽取18岁及以上社区居民400人进行体格检查和问卷调查。结果珠海市社区居民高血压患病率为27．75％，知晓率、治疗率和控制率分别为43．24％、35．14％和12．61％。不同性别社区居民高血压防治现状之间差异无统计学意义（P〉0．05）。人群中高血压危险因素控制情况较差。结论珠海市社区居民高血压防治工作面临“高发病率，低知晓率、治疗率和控制率”的严峻形势，有必要分析并解决基层医疗机构在开展慢病管理工作中面临的问题和障碍，使其更好地发挥实现公共卫生服务均等化的主体功能作用。

Status of the Prevalence of Hypertension and Prevention and Control Status of It in Zhuhai City

Objectives We aimed to explore the status of the prevalence of hypertension and the prevention and control status of it in adults in Zhuhai City, and to estimate the condition of risk factors of hypertension in public, which will provide a scientific basis for the prevention and control of hypertension in community. Methods A multistage stratified random sample was used to select adults aged 18 years or older in Zhuhai City, and 400 adults were recruited and investigated. Results The prevalence of hypertension was 27.75% in Zhuhai. The awareness rate, treat rate and control rate are 43.24%, 35.14% and 12.61% respectively. There were no significant differences about the status of prevention and control of hypertension between males and females. The condition of some risk factors of hypertension in public was bad. Conclusions The prevention and control status of hypertension in Zhuhai City was a serious and urgent issue. It is necessary to explore the dilemmas and obstacles faced in the prevention and control of chronic disease management in community health facilities, which will be significant in providing equitable public health service.