摘要
目的对比分析山东省中西部地区25岁以上农村常住居民中正常高值血压与高血压的流行特征及其危险因素,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。应用多因素Logistic回归分析方法对比分析正常高值血压和高血压人群的危险因素。结果调查地区居民正常高值血压检出率和标化率分别为37.0%、39.2%;高血压检出率和标化率分别为43.8%、37.8%。年龄、高血压家族史、高饮酒量、体质指数(BMI)和糖尿病是调查地区正常高值血压和高血压共同的危险因素,女性是正常高值血压和高血压共同保护因素,静态活动时间长是高血压的危险因素,而蔬菜摄入量多是保护因素。结论调查地区正常高值血压和高血压患病均呈现较高流行趋势,加强对正常高值血压的关注是防治高血压的早期有效的措施,应以健康行为生活方式为主要内容加强对正常高值血压人群的监测和宣传。
Objective To compare the prevalence characteristics and risk factors of high - normal blood pressure and hypertension for adults aged ≥25 in mid - western rural areas of Shandong province and provide evidence for hypertension intervention policy development. Methods Subjects aged ≥25 were selected by multi - stage stratified random sampling method. All participants were interviewed employing standard questionnaire and physically examined on height, weight, waist circumference, blood pressure and fasting plasma glucose （FPG）. Multivariate Logistic regression was employed to compare risk factors of high - normal blood pressure and hypertension. Results The crude and adjusted rates of high - normal blood pressure were 37.0% and 39. 2% , while those of hypertension were 43.8% and 37. 8% respectively. Age, family history of hypertension, high alcohol drinking, body mass index （BMI） and diabetes were common risk factors for high - normal blood pressure and hypertension. Female was one common protective factor of both high -normal blood pressure and hypertension, in addition, sedentary lifestyle was one risk factor of hypertension and high vegetable intake was one protective factor of hypertension. Conclusion Both of the prevalence of high - normal blood pressure and hypertension were high in the target population. Efforts on high - normal blood pressure are early and effective measures for better control of hypertension. Priorities should be set on lifestyle intervention for the prevention and control of both high - normal blood pressure and hypertension.
出处
《中国预防医学杂志》
CAS
2008年第9期777-780,共4页
Chinese Preventive Medicine
基金
卢森堡-WHO-山东省农村卫生人员培训与慢病控制项目(WP/2006/CHN/NCD/2.4/001)
关键词
正常高值血压
高血压
患病率
危险因素
农村
High-normal blood pressure
Hypertension
Prevalence
Risk factors
Rural areas
