红河州居民高血压患病率及其影响因素分析

目的 分析红河州居民高血压流行情况及其影响因素,为红河州制定高血压防控相关政策提供科学依据。 方法 采用多阶段分层随机整群抽样的方法,对红河州4 704名18岁及以上常住居民进行问卷调查、体格测量和实验室检测,并采用多因素logistic回归方法探讨高血压的影响因素。 结果 红河州居民高血压患病率为20.5%,男性20.9%,女性20.2%,城市24.9%,农村19.0%,高血压患病率随年龄增长而增加。农民(OR=1.5)、小学以下文化(OR=1.3)、不健康饮酒(OR=1.4)、居住城市(OR=1.5)、年龄≥35岁(OR=5.3)、超重肥胖(OR=2.1)、血脂异常(OR=1.7)、糖尿病(OR=1.8)是高血压的危险因素。体重知晓(OR=0.7)、已婚或同居(OR=0.7)与高血压呈负相关。 结论 红河州居民高血压患病率处于较高水平,不同特征人群存在差异,亟待加强红河州高血压防控工作

Prevalence and risk factors of hypertension in residents of Honghe prefecture

Objective To investigate the prevalence and risk factors of hypertension in residents (above 18 years old) of Honghe Prefecture and provide the basis for preventive measures. Methods The subjects (4 704 urban and rural residents) selected with multi-stage stratified sampling were investigated by questionnaire,physical examination,and laboratory tests. The prevalence of hypertension was calculated,and the influence factors were analyzed with logistic regression. Results Honghe Prefecture residents with hypertension prevalence rate were 20.5%. 20.9% of male,20.2% of female,24.9% of the city and 19.0% of rural,hypertension prevalence rate rises with age increasing. Logistic regression analysis showed that,farmers (OR=1.5),the following culture of primary school (OR=1.3),unhealthy drinking (OR=1.4),city dweller (OR=1.5),above 35 years old group (OR=5.3),overweight and obesity (OR=2.1),dyslipidemia (OR=1.7),diabetes (OR=1.8) were risks factor for hypertension. Weight awareness (OR=0.7) and married (OR=0.7) were negatively related to hypertension. Conclusion The prevalence of hypertension in residents of Honghe Prefecture are high and there are significant differences in residents with different characters,the intervention measures should be taken for residents with high risk.