广东省居民高血压相关影响因素分析

目的 了解高血压的主要相关影响因素，为采取有针对性的控制措施提供科学依据。方法 运用多阶段随机整群抽样方法抽取广东省13个县(区)，用面对面询问调查获得15岁及以上居民高血压既往史和个人基本情况，体检获取血压值。采用Logistic回归分析方法筛选高血压相关影响因素。结果 调查共15474人测量血压，高血压患2699人，高血压粗患病率为17．4％,Logistic回归分析结果显示．城市高血压主要影响因素有职业、高血压家族史、体质指数、腰围和年龄，册值分别为1．11、1．32、1．65、1．51、2．30。农村高血压主要影响因素有职业、年龄、体质指数、腰围、高血压家族史、性别和化程度，OR值分别为1．13、2．04、2．38、1、30、1．22、0．64和0．84。结论 肥胖和向心性肥胖是高血压可以改变的独立危险因素，广东省高血压的防治要与预防控制肥胖措施结合起来。

Risk Factors Related to Hypertension in Guangdong Province

Objective To identify the factors related to hypertension in Guangdong province. Methods The population sample over 15 years was sampled by multi stage randomized cluster sampling. Background information collected by face to face interview and blood pressure (BP), body mass index (BMI) and waist circumference (WC) by physical examination. The relative risk factors were screened by logistic regression analysis. Results Of 15 474 people over 15 years, 2 699 were found to be hypertensive. The crude hypertension prevalence rate was 17 4%. In urban areas, the major relative risk factors of hypertension were occupation, family hypertension history, obesity, waist circumference and age and their OR values were 1 11,1 32,1 65,1 51 and 2 30 respectively. In rural areas, the OR values of occupation, age, obesity, waist circumference, family hypertension history, sex and education were 1.13, 2.04, 2.38, 1.30, 1.22, 0.64 and 0.84 respectively. Conclusion Body mass index (BMI) and waist circumference (WC) were independent risk factors for hypertension. Hypertension control and prevention should include obesity intervention.