摘要
目的 了解安徽省≥18岁居民高血压患病、知晓、治疗和控制状况。方法 在2013年中国慢性非传染疾病及其危险因素监测安徽省12个监测点中,采用多阶段分层整群随机抽样方法抽取≥18岁常住人口为样本,采用复杂加权分析不同特征人群高血压患病率、知晓率、治疗率、控制率及治疗控制率。结果 有效样本量为7182例。安徽省成人高血压患病率为29.5%（95%CI：20.7%~38.3%）,男性（31.5%）高于女性（27.5%）,差异具有显著性（χ~2=5.28,P=0.02）;高血压知晓率为41.2%（95%CI：35.2%~47.3%）,城市（51.3%）高于农村（35.8%）,差异具有显著性（χ~2=12.52,P〈0.001）;高血压治疗率为32.9%（95%CI：24.8%~40.9%）,城市（44.8%）高于农村（26.5%）,差异具有显著性（χ~2=14.87,P〈0.001）;高血压控制率为10.5%（95%CI：4.4%~16.6%）,城市（19.7%）高于农村（5.6%）,差异具有显著性（χ~2=5.41,P〈0.001）;高血压治疗控制率为31.9%（95%CI：18.0%~45.8%）,城市（43.9%）高于农村（21.2%）,差异具有显著性（χ~2=5.41,P〈0.001）。随着年龄的增加,高血压患病率、知晓率均呈上升趋势（χ~2=454.09,P〈0.001;χ~2=27.21,P〈0.001）;随着文化程度的升高,高血压治疗率、控制率、治疗控制率均呈上升趋势（χ~2=4.28,P=0.04;χ~2=58.54,P〈0.001;χ~2=68.58,P〈0.001）。结论 安徽省高血压患病率较高,而知晓率、治疗率、控制率、治疗控制率均较低,且城乡差异大。高血压防控工作亟待加强,尤其应强化农村人群、中青年、低学历者的健康教育和管理。
Objective To understand the prevalence, awareness, treatment and control of hypertension among people aged ≥ 18 years in Anhui province in 2013. Method The local residents aged ~ 18 years were selected through multistage clustering sampling in 12 ＂China Non-communicable and Chronic Disease Risk Factor Surveillance＂ points in Anhui province. The complex sampling scheme was used to analyze the prevalence, awareness rate, treatment rate, control rate, and treatment control rate of hypertension among different groups. Result A total of 7182 adults were included in the study. After being weighted, the overall prevalence of hypertension was 29.5% （95%C1： 20.7% - 38.3%） in Anhui province. The prevalence was higher in males （31.5%） than that in females （27.5%）, and the difference was significant （2,2 = 5.28, P = 0.02）. The awareness rate of hypertension was 41.2% （95%CI： 35.2% - 47.3%）, which was higher in urban residents （51.3%） than that in rural residents （35.8%）, and the difference was significant Off = 12.52, P 〈 0.001）. The treatment rate of hypertension was 32.9% （95%C1： 24.8% - 40.9%）, which was higher in urban residents （44.8%） than that in rural residents （26.5%）, and the difference was significant Off = 14.87, P 〈 0.001）. The control rate of hypertension was 10.5% （95%CI： 4.4% ~ 16.6%）, which was higher in urban residents （19.7%） than that in rural residents （5.6%）, and the difference was significant （χ2 = 5.41, P = 0.02）. The treatment control rate of hypertension was 31.9% （95%CI： 18.0% -45.8%）, which was higher in urban residents （43.9%） than that in rural residents （21.2%）, and the difference was significant Off = 9.90, P 〈 0.001）. The prevalence and awareness rate of hypertension increased with age （χ2= 454.09, P 〈 0.001;χ2 = 27.21, P 〈 0.001）. With the increase of culture, the treatment rate, control rate, and treatment control rate showed an upward trend （χ2 = 4.28, P = 0.04; 22 = 58.54, P 〈 0.001; 22 = 68.58, P 〈 0.001）. Conclusion The prevalence of hypertension is high, but the awareness rate, treatment rate, control rate, and treatment control rate of hypertension are relatively low with big difference between urban and rural areas in adults in Anhui province. It is necessary to strengthen the prevention and control of hypertension, especially for rural people, young people and those with low educational background.
出处
《中国医学前沿杂志（电子版）》
2016年第12期6-12,共7页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
基金
中央补助安徽省重大公共卫生项目慢性病及其危险因素监测项目(2013)
关键词
高血压
患病率
知晓率
治疗率
控制率
治疗控制率
Hypertension
Prevalence
Awareness rate
Treatment rate
Control rate
Treatment control rate
