农村居民高血压患病及影响因素分析

目的 了解山东省中西部地区25岁~农村常住居民高血压流行现状及其影响因素,为制定干预措施提供科学依据。方法 采用多阶段分层随机抽样的方法,对该地区的调查对象进行问卷调查、体格检查以及实验室检测,应用Logistic回归分析方法分析高血压相关影响因素。结果 该地区农村居民收缩压和舒张压平均水平分别为135,84 mmHg,男性收缩压和舒张压平均水平均高于女性,高血压粗患病率为43.8%,其中1,2,3级高血压患病率分别为24.4%,11.9%和5.8%。高血压标化患病为37.8%,男性为40.8%,女性为34.8%,男性高于女性。男、女高血压患病率均随着年龄的增高而升高。高血压患病的主要危险因素为年龄、体质指数(BMI)、高血压家族史、糖尿病、静态活动时间长、高饮酒量和碳水化合物供能比高;女性和高蔬菜摄入量为高血压的保护因素。结论 该地区农村居民高血压患病率较高,预防控制肥胖和糖尿病是高血压防治的重点。

Analysis on epidemiologic characteristics of hypertension and its influence factors among rural residents in Shandong province,China

Objective To identify characteristics of hypertension prevalence and its influence factors for adults aged≥25 in midwestern rural areas of Shandong province and to provide evidence for intervention.Methods Subjects aged over 25 years-old were sampled by multi-stage stratified random ized sampling All kinds of infounation were collected by interview,physical examination and laboratory detection.The influence factorswere explored through logistic regression analysis.Results The mean of systolic blood pressure(SBP) and diastolic blood pressure(DBP)was 135 mm Hg and 84mm Hg re-spectivelv in the target population Both means of SBP and DBP were higher in men than in women.The cmde prevalence rate of hypertension was 43.8% and 24.4%,11.9% and 5.8% for grade 1,2 and 3 hypertention,respectively.The standardized rate of hypertension was 37.8%,40.8% in men and 34.8% in women(P<0.01).The rate of hypertension increased with age The major risk factors for hypertention were age,body mass index,family history,diabetes,longtin a of static activity,more quantity of drinking and larger proportion of carbohydrate intake in the target population.Female and more vegetable intakewere protective factors of hypertension.Conclusion The prevalence of hypertension was high in survey area Obesity and diabetes intervention are the key points of prevention and control of hypertension.