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目的调查山东省泰沂山区农村居民的高血压患病状况,探讨相关危险因素。方法于2008年9月采用多阶段分层抽样的方法在15个县(市、区)共调查8 797人,进行问卷调查和体格检查,并进行高血压危险因素的Logistic回归分析。结果高血压患病率、知晓率、治疗率和控制率分别为18.8%,32.2%,19.6%和5.2%;Logistic回归分析显示:体力劳动、食用肉类与高血压呈负相关,OR分别为0.860,0.777;年龄、超重或肥胖、腹型肥胖、饮酒、高盐饮食、高血压和脑卒中家庭史与高血压呈正相关,OR分别为1.751,1.445,1.470,1.234,1.483,1.914,1.420。结论山东省泰沂山区高血压患病率较高,防治水平低,应针对主要危险因素加强人群的健康教育、高血压的复查和病人的随访管理等综合防治措施。
Objective To investigate the prevalence of hypertension among rural residents in the mountainous area of Taiyi in Shandong Province and to explore the related risk factors. Methods In September 2008, a total of 8 797 people were surveyed in 15 counties (cities and districts) by means of multistage stratified sampling, and questionnaires and physical examinations were conducted. Logistic regression analysis was performed on the risk factors of hypertension. Results The prevalence rate of hypertension, awareness rate, treatment rate and control rate were 18.8%, 32.2%, 19.6% and 5.2% respectively. Logistic regression analysis showed that there was a negative correlation between manual labor, edible meat and hypertension, OR 0.860,0.777; The age, overweight or obesity, abdominal obesity, drinking, high salt diet, hypertension and stroke family history and hypertension were positively correlated, OR were 1.751,1.445,1.470,1.234,1.483,1.914,1.420. Conclusion The prevalence of hypertension is high in the mountainous area of Taiyi in Shandong Province, and its prevention and treatment level is low. Comprehensive prevention and control measures such as health education, review of hypertension and patient follow-up management should be strengthened according to the major risk factors.