论文部分内容阅读
目的分析辽宁省居民高血压患者管理现状及其影响因素分布状况,针对重点人群加强高血压管理工作。方法采用分层随机整群抽样方法,对辽宁省16 750名居民进行问卷调查并测量身高、体重及血压。比较不同人群高血压患病率、知晓率、治疗率和控制率差异,并分析其影响因素。应用SPSS 13.0软件进行数据分析,率的比较用χ2检验或趋势χ2检验,多因素分析采用非条件logistic回归分析。结果辽宁省居民高血压患病率为25.90%,城市居民高于农村,男性高于女性,随年龄增加而升高,差异均有统计学意义(P<0.01)。高血压知晓率为62.53%,治疗率为43.33%,控制率为15.65%。农村(OR=1.27,95%CI:1.15~1.40)、高中或中专(OR=1.19,95%CI:1.04~1.37)、初中及以下(OR=1.27,95%CI:1.06~1.52)是高血压不知晓的危险因素。30~44岁(OR=2.40,95%CI:1.94~2.98)、45~59岁(OR=5.52,95%CI:4.45~6.84)、≥60岁(OR=12.45,95%CI:10.01~15.49)、离异或丧偶(OR=1.60,95%CI:1.20~2.12)、饮酒(OR=1.15,95%CI:1.04~1.28)、超重(OR=1.63,95%CI:1.49~1.78)、肥胖(OR=2.81,95%CI:2.49~3.18)、自报糖尿病(OR=1.30,95%CI:1.14~1.49)和自报血脂异常(OR=1.99,95%CI:1.71~2.31)是高血压未控制的危险因素。结论辽宁省居民高血压患病率较高,知晓率、治疗率、控制率均较低,应针对重点人群开展健康教育工作,进一步提高知晓率、控制率。
Objective To analyze the status quo and the distribution of influencing factors of hypertension among residents in Liaoning Province and to strengthen the management of hypertension in key populations. Methods A stratified random cluster sampling method was used to survey 16 750 residents in Liaoning Province and measure height, weight and blood pressure. The prevalence rate of hypertension, awareness rate, treatment rate and control rate in different population were compared, and the influencing factors were analyzed. SPSS 13.0 software was used to analyze the data. Rates were compared using χ 2 test or trend χ 2 test. Multivariate analysis was performed using non-conditional logistic regression analysis. Results The prevalence rate of hypertension was 25.90% in Liaoning Province. The urban residents were higher than those in rural areas. The male was higher than that of female and increased with age. The difference was statistically significant (P <0.01). The awareness rate of hypertension was 62.53%, the treatment rate was 43.33%, and the control rate was 15.65%. (OR = 1.27, 95% CI: 1.15-1.40), high school or secondary school (OR = 1.19, 95% CI: 1.04-1.37), junior high school and below Hypertension is not known risk factors. (OR = 2.40, 95% CI: 1.94-2.98), 45-59 years (OR = 5.52, 95% CI: 4.45-6.84), ≥60 years (OR = (OR = 1.63, 95% CI: 1.49-1.78), alcohol consumption (OR = 1.15, 95% CI: 1.04-1.28), divorced or widowed (OR = 1.60,95% CI: 1.20-2.12) (OR = 2.81, 95% CI: 2.49-3.18), self-reported diabetes mellitus (OR = 1.30, 95% CI: 1.14-1.49) and self-reported dyslipidemia (OR = 1.99, 95% CI: 1.71-2.31) Uncontrolled risk factors for hypertension. Conclusion The prevalence rate of hypertension in Liaoning Province is relatively high, and the awareness rate, treatment rate and control rate are relatively low. Health education should be carried out in key populations to further improve the awareness rate and control rate.