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[目的]了解泰安市城市社区中老年居民高血压患病情况及影响因素,为高危人群确定干预措施提供科学依据。[方法]2009年6月,在泰安市泰山区岱庙办事处岱西社区和财源办事处后七社区,抽取部分居民楼,对全部35岁及其以上常住人口进行调查。[结果]调查1 942人,查出高血压患者625例,患病率为32.18%,标化率为24.06%。高血压患病率,男性为35.43%,女性为29.44%(P<0.01);35~45岁为16.67%,46~55岁为29.12%,56~65岁为43.48%,66~75岁为51.99%,76岁以上为55.86%。多因素非条件Logisti回归分析结果,男性、年龄大、饮酒频率高、体重指数大、有家族高血压史、自测血压频率低、血脂异常是高血压的危险因素,OR值分别为1.613、1.336、1.343、1.961、2.351、2.644、2.317;文化程度高、经常食用奶类食品、现实满意度高是高血压的保护因素,OR值分别为0.707、0.661、0.637。[结论]泰安市城市社区中老年居民高血压患病率较高,男性、年龄大、饮酒频率高、体重指数大、有家族高血压史、自测血压频率不高、血脂异常是高血压的危险因素。
[Objective] To understand the prevalence and influencing factors of hypertension among middle-aged and elderly residents in urban communities in Tai’an and to provide a scientific basis for identifying interventions in high-risk groups. [Method] In June 2009, part of the seven communities in Daixi Community and Caiyuan Office in Dai Temple, Taishan District, Tai’an City were selected to survey some of the resident population aged 35 and over. [Results] A total of 1 942 persons were investigated. Among them, 625 cases of hypertension were detected, the prevalence was 32.18% and the standardization rate was 24.06%. The prevalence of hypertension was 35.43% in males and 29.44% in females (P <0.01). The prevalence of hypertension was 16.67% in 35-45 years, 29.12% in 46-55 years, 43.48% in 56-65 years, 51.99%, 55.86% over 76 years old. Multivariate non-conditional Logistic regression analysis showed that men, older age, higher drinking frequency, higher body mass index, history of familial hypertension, lower frequency of self-test blood pressure and dyslipidemia were risk factors of hypertension with ORs of 1.613 and 1.336 , 1.343,1.961,2.351,2.644,2.317; high educational level, regular consumption of dairy foods, the high degree of realistic satisfaction is the protection of hypertension, OR values were 0.707,0.661,0.637. [Conclusion] The prevalence of hypertension in middle-aged and elderly residents in urban communities of Tai’an City is higher than that of men, older age, high frequency of drinking, high body mass index, history of family history of hypertension, low self-test frequency of blood pressure and high blood pressure Risk factors.