2006～2007年溧阳市城乡居民高血压患病及其影响因素分析

[目的]了解溧阳市居民高血压的患病率及其影响因素,以便提出有针对性的防治对策。[方法]2006~2007年在溧阳市抽取10个乡镇的20个自然村,对全部常住居民进行高血压患病情况调查,并对高血压患病的影响因素进行单因素和多因素非条件Logistic回归分析。[结果]调查4090人(男性1884人,女性2206人),高血压患者856例,高血压患病率为20.93%,标化患病率为15.87%。高血压患病率,男性为22.51%,女性为19.58%(P<0.05);男性、女性不同年龄人群的差异均有统计学意义(P<0.01);农民为20.98%,其他人群为9.92%(P<0.01);文盲、半文盲为21.26%,小学文化为20.19%,初中文化者为23.53%,高中以上文化者为12.19%(P<0.01)。多因素非条件Logistic回归分析结果,年龄、家族史、饮酒和腰围为高血压的危险因素,OR值分别为1.25、11.86、1.44、1.82。[结论]溧阳市居民高血压患病率偏低,高血压危险因素主要是年龄大、有高血压家族史、饮酒和腰围大。

Analysis of the Prevalence of Hypertension and its Risk Factors among Urban and Rural Population from 2006 to 2007

[Objective]To explore the prevalence of hypertension and influencing factors in Liyang and give some suggestions for improvement.[Methods]With cluster random sampling,20 villages among 10 towns of Liyang city were selected.residents were investigated.Single and multiple factor Logistic regression analysis were used for the analyses of the general condition and risk factors of subjects.[Results]Of 4 090 subjects investigated,1 884 are male and 2 206 are female,856 were reported to have hypertension and the prevalence rate was 20.93%.The standardized prevalence rate of hypertension was 15.87%.The prevalence rate was 22.51% in male and 19.58% in female(P<0.05).The prevalence rate among peasants was 20.98%,higher than others(9.92%).There was a difference in the prevalence rate in different aged group.The prevalence was 21.26%,20.19%,23.53% and 12.19%(P<0.01)among the people of illiterate or semi-illiterate,at the education level of primary school,junior,senior high school or above respectively.Multiple factor unconditioned Logistic regression analysis showed that the risk factors for hypertension in this population included age,family history,drinking wine and big waistline.[Conclusion]The prevalence of hypertension was low in Liyang.The risk factors were elderly,family history,drinking wine and big waistline.