摘要
目的探讨社区50岁及以上成年人高血压控制的影响因素,提出合理控制血压的建议。方法采用现况调查方法,对自述被诊断为高血压的50岁及以上的高血压患者进行问卷调查,并测量其血压、身高、体重和腰臀围,分析影响控制高血压的相关因素。结果在所调查的557名研究对象中,高血压控制率为25.5%;在影响高血压控制的因素中,女性相对于男性为保护因素(OR=0.345,0.188～0.632),体重指数(BMI)为危险因素(OR=1.080,1.015～1.149),戒烟是保护因素(OR=0.251,0.113～0.558),良好的婚姻状况是保护因素(OR=0.309,0.136～0.705)。结论该区50岁及以上成年人中,影响高血压控制的因素主要为性别、BMI、吸烟和婚姻状况,应针对这些因素进行相应的干预。
OBJECTIVE To explore the risk factors of hypertension control in people age 50 and older in community and to make reasonable suggestions.METHODS A cross-sectional study was carried out on people with hypertension who was 50 years older in one district of Shanghai.All the participants received questionnaire investigation.Height,weight,blood pressure and waist hip rate of them were measured.Factors that affected hypertension were analyzed.RESULTS Among 557 people with hypertension,the control rate was 25.5%.In multi-variable analysis,woman patients have a significant higher control rate of hypertension（OR=0.345,0.188～0.632）.BMI was a risk factor for the control（OR=1.080,1.015～1.149）.Smoking cessation was a protective factor for the control（OR=0.251,0.113～0.558）.A good marriage was a protective factor for the control（OR=0.309,0.136～0.705）.CONCLUSIONS For people age 50 and older in this district,the focus must be on weight-lose,smoking cessation and social support.
出处
《中国初级卫生保健》
2012年第9期59-61,共3页
Chinese Primary Health Care
关键词
高血压
控制
危险因素
hypertension
control
risk factors
