重庆市荣昌区35~75岁居民高血压患病率、知晓率、治疗率、控制率及相关影响因素

目的分析重庆市荣昌区35~75岁居民高血压患病率、知晓率、治疗率、控制率及影响因素,为政府制定高血压防控措施提供依据。方法对参加心血管病高危人群早期筛查和综合干预项目5669名常住居民进行问卷调查、体格检查、血生化检测,数据采用SPSS 22.0统计软件进行分析,率的比较采用χ^(2)检验,影响因素分析采用非条件二分类逐歩后退logistic回归分析。结果重庆市荣昌区高血压、糖尿病、血脂异常患病率分别为49.46%、16.76%、16.00%,标化患病率分别为41.13%、14.01%、15.66%。高血压知晓率、治疗率、控制率分别为32.13%、29.21%、6.35%。高血压患病危险因素为男性、中心性肥胖、糖尿病,保护因素为工人、失业、家务及商业服务人员;≥50岁年龄组、家庭年收入在≥3万元~、≥4万元的高血压知晓率高;家庭年收入在3万元~、≥4万元的高血压治疗率高;城市、家庭年收入在≥4万元的高血压控制率高。糖尿病人群高血压知晓率、治疗率、控制率高。结论重庆市荣昌区35~75岁居民高血压患病率较高,知晓率、治疗率和控制率较低,应针对不同人群、不同危险因素开展个体化健康教育和干预。

Prevalence,awareness, treatment and control rates of hypertension and their related influencing factors among residents aged 35-75 years in Rongchang District,Chongqing Municipality

Objective To analyze the prevalence, awareness, treatment and control rates of hypertension and their influencing factors among residents aged 35-75 years in Rongchang District of Chongqing Municipality so as to provide a basis for the government to formulate hypertension prevention and control measures. Methods A total of 5,669 permanent residents who participated in the China Patient-centered Evaluative Assessment of Cardiac Events (China PEACE) were recruited to finish a questionnaire survey and undergo physical and laboratory examinations. The data were analyzed by SPSS 22.0 statistical software. The prevalence, awareness, treatment and control rates of hypertension among groups were compared by χ² test, and their influencing factors were analyzed by unconditional binary stepwise logistic regression. Results The prevalence rates of hypertension, diabetes and dyslipidemia in Rongchang District of Chongqing Municipality were 49.46%, 16.76% and 16.00%, respectively, and the age standardized prevalence rates were 41.13%, 14.01% and 15.66%, respectively. The awareness, treatment and control rates of hypertension were 32.13%, 29.21% and 6.35%, respectively. The risk factors for hypertension were males, central obesity and diabetes, while the protective factors were workers,the unemployed, houseworkers,and business service staff. The awareness rate of hypertension was higher in the≥50 age group, and groups with annual family income of ￥30,000 and ≥ ￥40,000. The treatment rate of hypertension washigher ingroups with annual family income of ￥30,000 and ≥￥40,000. The control rate of hypertension was higher in urban areas and the group with annual family income of ≥￥40,000. The awareness, treatment and control rates of hypertension in diabetic patients were high. Conclusion The prevalence rate of hypertension among residents aged 35-75 years in Rongchang District of Chongqing Municipality was high, but the awareness, treatment and control rates were relatively low. Individualized health education and intervention should becarried out for different populations and risk factors.