河北涞源县贫困人口高血压患病现况及影响因素分析

目的探讨河北涞源县贫困人口高血压的患病现况和该地区高血压发病的主要危险因素。方法研究对象均来自河北省保定市银坊镇下属21个行政村在册的贫困人口,随机抽取150人(男/女:59/91)参与调查。排除认知功能异常不能配合完成问卷调查及生化检查缺项的居民,共141人(男/女:54/87)纳入研究,年龄44~92岁。研究对象均完成完整的问卷调查、体格检查及血生化检查。按照高血压与非高血压分为两组,年龄、体重指数、性别与是否吸烟等进行亚组分析。结果高血压患病率为48.2%。体重、BMI、TC、LDL-C、吸烟者占比高血压组明显高于非高血压组,差异有统计学意义(P<0.05)。<65岁贫困居民高血压患病率(77.5%)明显高于≥65岁老年人(36.6%,OR=5.96,95%CI:2.56-13.88,P<0.001)。BMI≥28 kg/m^2组高血压患病率为65.5%,显著高于BMI<24kg/m^2组,(OR=2.43,95%CI:1.04-5.73,P<0.05)。男性吸烟组高血压患病率为50%,非吸烟组25%,两者比较差异无统计学意义(P>0.05)。Logistic回归分析男性、年龄≥65岁、不吸烟为高血压患病的保护因素。结论该地区贫困人口高血压患病率为48.2%,体重、BMI、总胆固醇、低密度脂蛋白、吸烟率高血压组明显高于非高血压组。BMI≥28 kg/m^2是高血压患病的危险因素,男性、≥65岁、非吸烟是高血压患病的保护因素。

Prevalence and Impact Factors of Hypertension of the Poor Population in Laiyuan County,Hebei Province

Objective To investigate the prevalence and main impact factors of hypertension of the poor population in Laiyuan county.Methods A total of 150 registered poor people(male/female:59/91)who were from 21 administrative villages of Yinfang town,Laiyuan county of Hebei province were randomly selected to participate in our survey.141 residents(male/female:54/87),aged 44-92 years,were included in the study,excluding those who had cognitive dysfunction and could not complete the questionnaire and biochemical examination.We collected the data through questionnaires,physical and biochemical examinations.We classified all subjects into hypertension or nonhypertension group,and subgroups were classified according to age,body mass index,gender and smoking,et al.Results The prevalence of hypertension was 48.2%.Weight,BMI,TC,LDL-C and Smoking(%)were significantly higher in the hypertension group than in the nonhypertension group,P<0.05.The prevalence of hypertension in<65 years old group was higher than that in≥65 years old group77.5%vs 36.6%OR=5.96,95%CI:2.56-13.88,P<0.001.The prevalence of hypertension in the BMI≥28 kg/m^2 group was higher than that in the BMI<24 kg/m^2 group 65.5%vs 40.0%,OR=2.43,95%CI:1.04-5.73,P<0.05.The prevalence of hypertension in the male smoking group and nonsmoking group was 50%and 25%,respectively(P>0.05).In addition,male,≥65 years old,and non-smoking were the protective factors for hypertension(P<0.05).Conclusion The prevalence of hypertension is 48.2%among the poor population in this area.The body weight,BMI,TC,LDL-C and smoking rate of the hypertension group are higher than that of the non-hypertension group.BMI≥28 kg/m^2 is a risk factor for hypertension,while male,≥65 years old and non-smoking are protective factors for hypertension.