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目的了解50岁以上居民高血压患病情况及相关危险因素,为制定高血压防治策略提供科学依据。方法采用现况调查的方法,对某社区50岁以上全部居民3763人进行调查,内容包括人口统计学特征、生活方式、睡眠情况、疾病史及疾病家族史等相关因素以及测量身高、体重、腰围、臀围、血压等。结果高血压患病率为43%,男性患病率41.2%,女性患病率为44.5%,男女性高血压患病率差别有统计学意义(P<0.05)。单因素Logistic回归分析结果显示,年龄(OR=1.029,95%CI:1.021～1.037)、女性(OR=1.145,95%CI:1.005～1.305)、体质指数(OR=1.118,95%CI:1.097～1.140)、腰围(OR=1.025,95%CI:1.019～1.032)、腰臀比(OR=5.809,95%CI:2.047～16.489)、糖尿病(OR=2.186,95%CI:1.840-2.598)、高脂血症(OR=2.460,95%CI:1.558～3.885)、高血压家族史(OR=2.692,95%CI:2.307～3.142)及睡眠障碍(OR=1.354,95%CI:1.159～1.582)与高血压高危险有关。多因素Logistic回归分析与高血压有关的因素是:高血压家族史(OR=3.253,95%CI:2.611～4.052)、年龄(OR=1.053,95%CI:1.041～1.065)、BMI(OR=1.098,95%CI:1.071～1.126)、糖尿病(OR=2.248,95%CI:1.769～2.858)、高脂血症(OR=2.234,95%CI:1.378～3.623)及睡眠障碍(OR=1.370,95%CI:1.113～1.686)。结论高血压已成为影响50岁以上居民身体健康的重要公共卫生问题,年龄、体质指数、高血压家族史、糖尿病、高脂血症及睡眠障碍与高血压有关。
Objective To understand the prevalence of hypertension and related risk factors among residents over 50 years of age and provide a scientific basis for the development of hypertension prevention and control strategies. Methods A total of 3,763 residents over the age of 50 in a community were surveyed by means of current situation survey. The survey included demographic characteristics, lifestyle, sleep status, disease history and family history of the disease, as well as related factors such as height, weight, waist circumference , Hip circumference, blood pressure and so on. Results The prevalence of hypertension was 43%, the prevalence rate was 41.2% in males and 44.5% in females. There was a significant difference in the prevalence of hypertension between males and females (P <0.05). The results of univariate Logistic regression analysis showed that body mass index (OR = 1.118, 95% CI: 1.097) was significantly higher in patients with age (OR = 1.029,95% CI: 1.021-1.037) ~ 1.140), waist circumference (OR = 1.025, 95% CI: 1.019-1.032), WHR (OR = 5.809, 95% CI: 2.047-16.489), diabetes (OR = 2.186, 95% CI: 1.840-2.598) , Family history of hypertension (OR = 2.692, 95% CI: 2.307 ~ 3.142) and sleep disorders (OR = 1.354, 95% CI: 1.159 ~ 1.582) is associated with a high risk of hypertension. Multivariate logistic regression analysis was associated with hypertension: family history of hypertension (OR = 3.253, 95% CI: 2.611-4.0252), age (OR = 1.053, 95% CI: 1.041-1.065), BMI (OR = 2.234, 95% CI: 1.378-3.623), and sleep disorders (OR = 1.370, 1.098, 95% CI: 1.071-1.126) , 95% CI: 1.113-1.668). Conclusion Hypertension has become an important public health problem affecting the health of residents over the age of 50. The age, body mass index, family history of hypertension, diabetes, hyperlipidemia and sleep disorders are related to hypertension.