扬州农村社区人群高血压患病率及相关因素研究

目的 调查扬州市15岁以上农村社区人群高血压患病情况及相关因素。方法 采用整群随机抽样方法，对扬州市农村社区15岁以上17308人进行高血压患病率、高血压知晓与控制情况及相关因素调查分析。结果 扬州市农村社区人群高血压患病率为19．29％，标化患病率为16．71％。高血压知晓率、服药率和控制率分剐为42．14％、33．21％和9．54％。单因素分析和多因素logistic回归分析显示与高血压患病相关的危险因素有：年龄、体质指数（BMI）、腰臀围比（WHR）、高血压家族史、血糖、受教育程度、婚姻状况、吸烟、饮酒、体力锻炼。结论 高血压是由多基因遗传和多种环境不良因素交互作用而成。加强高血压的危险因素干预工作，对遏制农村社区高血压流行的快速增长趋势．指导我国农村人群开展高血压防治有重要意义。

Study on Prevalence Rate of Hypertension and Relevant Factors Among People in Yangzhou Rural Community

Objective To study the prevalence of hypertension and relevant factors among people in Yangzhou rural community. Methods To find out the prevalence rate of hypertension, awareness and control of hypertension and relevant factors, by the way of stratified sampling study, we investigated 17 308 persons who were 15 years older in rural community of Yangzhou city. Resuits The prevalence rate of hypertension in rural community of Yangzhou city was 19.29% ,while the standard prevalence rate of hypertension is 16.71%. The rates of awareness, treatment,and under control were 42.14% ,33.21% and 9.54%. Univariable analysis and multivariate logistic regression analysis showed that the risk factors of hypertension were age, BMI, WHR, family history of hypertension, blood sugar, education, marriage status, smoking, drinking and physical exercise. Conclusions Hypertension is caused by muhi-gene heredity and various fiarmful environmental factors. We should establish a system of prevention and control for hypertension to hold back the quick increasing trend of hypertension in rural area. It is of great importance to carry out primary preventions in rural community.