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目的对比分析徐州市2002和2012年高血压患病情况及其影响因素。方法采用多阶段整群抽样的方法,选取2002年与2012年徐州市经济开发区≥35岁常住居民进行问卷调查和体格检查。结果 2002年调查对象2564人的平均年龄为(51.8±13.2)岁,高血压患病率为23.6%;2012年调查对象4109人的平均年龄为(52.6±13.2)岁,高血压患病率为33.0%。多因素非条件Logistic回归分析表明,2002年高血压患病的影响因素包括:年龄≥45岁(45~<55岁,OR=2.59,55~<65岁,OR=3.34,65~<75岁,OR=7.08,≥75岁,OR=11.11;均P<0.001)、超重(OR=1.69,P<0.001)、肥胖(OR=3.18,P<0.001)、饮用井水(OR=1.88,P=0.003)、不经常饮茶(OR=1.55,P=0.011)、食用植物油(OR=0.60,P=0.001)。2012年高血压患病的影响因素包括:年龄≥45岁(45~<55岁,OR=1.67,55~<65岁,OR=4.05,65~<75岁,OR=6.55,≥75岁,OR=10.83;均P<0.001)、超重(OR=1.69,P<0.001)、肥胖(OR=3.26,P<0.001)、饮酒(OR=1.30,P=0.002)、吃饭口味一般(OR=0.68,P=0.001)。结论与2002年相比,2012年徐州地区成年人群高血压患病率显著上升,患病影响因素从饮用井水等贫穷因素转为不良生活行为习惯。
Objective To compare and analyze the prevalence of hypertension and its influential factors in Xuzhou in 2002 and 2012. Methods A multistage cluster sampling method was used to select the questionnaires and physical examinations of permanent residents ≥35 years old in Xuzhou Economic Development Zone in 2002 and 2012. Results The average age of 2564 subjects in 2002 was (51.8 ± 13.2) years old and the prevalence of hypertension was 23.6%. In 2012, the average age of 4109 subjects was 52.6 ± 13.2 years. The prevalence of hypertension was 33.0%. Multivariate non-conditional logistic regression analysis showed that the influencing factors of hypertension in 2002 include: age 45 years old (45 ~ 55 years old, OR = 2.59,55 ~ <65 years old, OR = 3.34,65 ~ <75 years old OR = 7.08, ≥75 years old, OR = 11.11; all P <0.001), overweight (OR = 1.69, P <0.001) = 0.003). Tea was infrequent (OR = 1.55, P = 0.011) and vegetable oil (OR = 0.60, P = 0.001). Factors influencing the prevalence of hypertension in 2012 included: ≥45 years old (45 ~ 55 years old, OR = 1.67, 55 ~ 65 years old, OR = 4.05,65 ~ <75 years old, OR = 6.55, (OR = 1.30, P = 0.002), average eating odors (OR = 0.68, P <0.001, OR = , P = 0.001). Conclusions Compared with 2002, the prevalence of hypertension among adults in Xuzhou district increased significantly in 2012, and the prevalence of the prevalence was changed from poor factors such as drinking well water to bad habits and habits.