摘要
目的了解浙江省杭州市西湖区居民高血压患病情况及其相关危险因素,为本区高血压病防治干预提供科学依据。方法通过整群抽样的方式对西湖区8个社区年满35岁以上的居民入户进行问卷调查及相关体格检查,数据用Epidata3.1进行录入,SPSS 13.0进行统计分析。结果杭州市西湖区人群的高血压患病率为46.5%,男性患病率显著高于女性(51.9%比41.3%;P<0.0001)。该社区高血压的知晓率为70.2%,控制率为23.8%。随着年龄的增加,男性和女性的患病率均呈增高趋势(P<0.0001)。与正常体质指数者相比,超重、肥胖患者的高血压患病率显著升高(51.5%和59.0%比36.1%;P<0.0001)。Logistic回归分析显示,年龄、性别、饮酒、超重/肥胖、糖代谢异常及高甘油三酯是高血压的独立危险因素(P<0.05)。结论杭州市西湖区居民高血压患病率处于较高水平,人群分布及相关危险因素具有一定的地域特征,高血压的预防控制应结合本地特点进行针对性干预。
Aim To investigate the prevalence and risk factors of hypertension among unban residents, and to provide the scientific evidence for the intervention measurements. Methods The residents, more than 35-year-old, were selected based on a cluster sampling design. Questionnaire survey and medical examination were used. The data were delivered by Epidata 3.1 and analyzed by SPSS 13.0. Results In all the residents studied, the incidence of hypertension was 46. 5 %. The incidence between male （ 51.9% ） and female （ 41.3 % ） had a significant difference （ P 〈 0. 0001 ）, and the prevalence of hypertension increased with age. The rates of hypertension awareness and control of this community were 70. 2% and 23.8%. Compared with those with normal body mass index （ BMI）, the prevalence of hypertension in patients with overweight and obesity were significantly increased. The prevalence of hypertension in patients with impaired fasting glucose and diabetes mellitus were significantly higher than those with normal glucose tolerance （51.5 % vs 36. 1% , 59. 0% vs 36. 1% , respectively, P 〈 0. 0001 ）. Stepwise Logistic regression revealed that age, male, drinking, overweight/obesity, glycometabolism abnormality and high triglycerides level were independent risk factors of hypertension （P 〈 005）. Conclusion The incidence of hypertension in Hangzhou district in Zhejiang province is relatively high. The distribution and relevant risk factors have its local characteristics. Thus, the hypertension control and comprehensive preventive measures should be implemented.
出处
《中国动脉硬化杂志》
CAS
CSCD
北大核心
2013年第2期173-176,共4页
Chinese Journal of Arteriosclerosis
