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目的了解天津市北辰区老年人高血压分布特征及危险因素,为老年人高血压的预防控制提供依据。方法采用等容量比例整群随机抽样方法抽取2008年7-10月天津市北辰区接受健康体检的60周岁及以上老年人5254例为研究对象,采用SPSS11.5软件包进行单因素和多因素Logistic回归分析。结果调查人群高血压标化患病率为57.55%,男性和女性患病率差异无显著性,多因素非条件Logistic回归分析结果显示,年龄、经济类型、高血压家族史、BMI、腰围、生育次数、现患糖尿病是老年人高血压主要危险因素,OR值分别为1.040、0.601、1.972、1.373、1.454、1.377和2.717。结论天津市北辰区老年人的高血压患病率较高,高血压的危险因素有高龄、地区经济类型(农村)、有高血压家族史、BMI分组(肥胖超重)、腰围分组(腹部肥胖)、生育次数多、患有糖尿病。
Objective To investigate the distribution and risk factors of hypertension in the elderly in Beichen District of Tianjin, and to provide evidence for the prevention and control of hypertension in the elderly. Methods A total sample of 5254 elderly people over the age of 60 and above in Beichen District, Tianjin from July to October in 2008 was selected as the research object by using an equal volumetric proportion cluster random sampling method. SPSS11.5 software package was used to perform univariate and multivariate Logistic regression analysis. Results The prevalence of hypertension was 57.55% in the survey population. There was no significant difference between male and female. The multivariate non-conditional Logistic regression analysis showed that age, economic type, family history of hypertension, BMI, waist circumference, Times, prevalence of diabetes is the major risk factor for hypertension in the elderly, OR values were 1.040,0.601,1.972,1.373,1.454,1.377 and 2.717. Conclusion The prevalence of hypertension in Beichen District of Tianjin City is high. The risk factors of hypertension include age, regional economic type (rural), family history of hypertension, BMI grouping (obesity overweight), waistline grouping (abdominal obesity) , Fertility frequency, suffering from diabetes.