泰山区城市社区居民中高血压影响因素分析

目的了解泰山区城市社区居民中高血压流行现况以及高血压的影响因素,为泰山区居民高血压综合防治措施的制定和开展提供一定的科学依据。方法采用多阶段分层随机抽样方法,对泰安市第一干休所和普照寺小区18~74岁的644名社区居民进行关于高血压影响因素的调查问卷,同时对每个接受调查的社区居民进行血压测量。采用多因素非条件Logistic回归进行相关统计,分析泰山区城市社区居民中高血压的影响因素。结果该调查社区人群高血压患病率为24.5%,标化率为22.6%,其中男、女标化率分别为24.8%、21.3%,高血压患病率在男性和女性之间的差异无统计学意义（P〉0.05）。Logistic回归分析表明年龄、饮酒、家族史、高盐饮食和肥胖是高血压的重要危险因素（P〈0.05）,其OR值分别为1.069,1.707,2.008,2.128,2.152。结论年龄、饮酒、肥胖、食盐的摄入量和家族史是高血压的重要影响因素。因此,对于高血压的控制及预防,我们应当加强居民健康教育,坚持良好的饮食习惯,劳逸结合保证充足睡眠的同时,改变饮酒等不良生活方式,控制肥胖、避免高盐饮食。

Analysis of influence of hypertension in the community residents in Taishan District

Objective： To understand hypertension prevalence status and influencing factors among the Taishan City residents,and to provide a scientific basis for prevention of hypertension in residents of Taishan District. Methods： Stratified random sampling and questionnaire were used to investigate the influential factors of hypertension of 644 permanent residents of the First Sanatorium and Puzhao temple area of Taian City at the age of 18 ~ 74,and at the same time blood pressure of each participant was taken. Using multi factor non conditional Logistic regression statistics,the influence factors of hypertension was analysed. Results： The prevalence of hypertension in Taishan district was 24. 5%,the standardized rate was 22. 6%. Among them male and female standardized rates were 24. 8% and 21. 3%. Male and female hypertension prevalence rates were not statistically significant（ P 0. 05）. Logistic regression analysis showed that age,drinking,family history,high salt diet and obesity were risk factors for hypertension（ P 0. 05）,and the OR values were 1. 069,1. 707,2. 008, 2. 128 and 2. 152. Conclusion： Age,drinking,obesity,salt intake and family history are important influence factors of hypertension. For hypertension prevention and control,health education should be strengthened,work and rest should be balanced to ensure sleep,drinking and other unhealthy life style should be changed at the same time,obesity should be controlled and high salt diet should be avoided.