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目的分析某社区60周岁以上老年人高血压的患病、控制现状以及相关影响因素,为社区人群高血压的防治管理工作提供依据。方法 2009年对某社区60周岁以上常住居民1504人进行健康体检和问卷调查,应用Logistic回归分析的方法进行高血压的危险因素分析。结果高血压总患病率为60.4%,其中,女性既往患者患病率(39.3%)高于男性(32.7%),文盲组总患病率最高(70.2%)。既往患者规律服药率为92.3%,其中60～69岁组最高(95.1%)。既往患者高血压控制率为30.8%,其中女性(48.7%)高于男性(12.8%)。多因素Logistic回归分析表明,男性、超重、肥胖、吸烟、饮酒、文化程度、定期运动、规律服药是高血压患病率与控制率的重要影响因素。结论高血压是目前影响该社区60周岁及以上老年人健康的主要慢性病之一。本地区高血压患病率较高,控制率较低。女性规律服药率高于男性,规律服药率随着年龄的增大而降低,随着文化程度的提高而升高,80岁以上组规律服药率最低。
Objective To analyze the prevalence, control status and related factors of hypertension in the elderly over 60 in a certain community, and provide the basis for prevention and control of hypertension in the community. Methods A total of 1,504 permanent residents over 60 years of age in a community were surveyed by health examination and questionnaire in 2009. Logistic regression analysis was used to analyze the risk factors of hypertension. Results The overall prevalence of hypertension was 60.4%. Among them, the prevalence rate of female patients was higher than that of male patients (39.3%) and male patients (32.7%), and the highest prevalence rate was 70.2%. The prevalence of patients with regular medication was 92.3%, of which 60 to 69 age group was the highest (95.1%). In the past, the control rate of hypertension was 30.8%, of which 48.7% were higher than men (12.8%). Multivariate Logistic regression analysis showed that male, overweight, obesity, smoking, drinking, education, regular exercise and regular medication are the important influencing factors of prevalence and control rate of hypertension. Conclusion Hypertension is currently one of the major chronic diseases that affect the health of the elderly 60 years and older in the community. The prevalence of hypertension in the region with a lower control rate. The prevalence rate of female regularity was higher than that of male, and the regular medication rate decreased with the increase of age. With the increase of educational level, the regular medication rate was the lowest in 80-year-old group.