论文部分内容阅读
目的了解文登市中老年居民高血压患病现况,探讨相关危险因素。方法于2008年4—8月采用多阶段分层随机抽样的方法,调查文登市35岁以上常住居民3415名,利用全国慢病综合防治技术规范的《健康信息记录表》进行问卷调查和体格检查,并进行高血压相关因素的单因素和多因素Logistic回归分析。结果被调查的3415名35岁以上的居民中,高血压患者1257人,患病率为39.87%,标化患病率为37.68%。高血压患病率随着年龄的增长而增高(χ2=285.54,P<0.05)。35岁～、45岁～、55岁～、65岁～、75岁～患病率分别为17.68%,32.67%,49.13%,54.49%,54.44%,65岁以上患者高血压患病率基本稳定。经多因素Logistic回归分析,家族史、饮酒、食盐摄入量、每日食油量、体质指数、腰围、精神状况是高血压的危险因素,OR(95%CI)分别为1.749(1.621～1.886),1.270(1.025～1.591),1.133(1.023～1.254),1.182(1.064～1.314),1.715(1.407～2.090),1.409(1.203～1.650),1.303(1.171～1.450)。结论文登市中老年居民高血压患病率较高,发病与多种因素有关,应加强高血压综合防治。
Objective To understand the prevalence of hypertension among middle-aged and elderly residents in Wendeng and explore the related risk factors. Methods From April to August in 2008, a multi-stage stratified random sampling method was used to investigate 3415 permanent residents over the age of 35 in Wendeng City. The questionnaire and physical examination were conducted using the “Health Information Record Form” of National Integrated Prevention and Control of Chronic Diseases , And univariate and multivariate logistic regression analysis of hypertension-related factors. Results Among the 3415 residents over the age of 35, 1257 were hypertensive patients with a prevalence of 39.87% and a standardized prevalence of 37.68%. The prevalence of hypertension increased with age (χ2 = 285.54, P <0.05). The prevalence rates of hypertension at 35 years old, 45 years old, 55 years old, 65 years old and 75 years old were 17.68%, 32.67%, 49.13%, 54.49% and 54.44% respectively. The prevalence of hypertension was basically stable in patients over 65 years old . The multivariate Logistic regression analysis showed that family history, alcohol consumption, salt intake, daily cooking oil content, body mass index, waist circumference and mental status were the risk factors of hypertension. The OR (95% CI) were 1.749 (1.621-1.886) , 1.270 (1.025-1.591), 1.133 (1.023-1.254), 1.182 (1.064-1.314), 1.715 (1.407-2.090), 1.409 (1.203-1.650) and 1.303 (1.171-1.450). Conclusion The prevalence of hypertension in middle-aged and elderly residents in Wendeng City is high, and its incidence is related to many factors. Comprehensive prevention and treatment of hypertension should be strengthened.